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目的探讨分析在腹腔镜不孕症手术中使用单级、双极电凝对卵巢功能所产生的影响。方法选择于2011年12月～2013年7月在我院接受腹腔镜不孕症手术的患者80例,随机分成对照组与观察组各40例,对照组患者采用单级电凝的止血方式,观察组患者则采用双极电凝的止血方式,对比两种止血方式对患者卵巢功能的影响。结果较手术前,患者术后2个月血清雌二醇(E2)一定程度下降、血清促黄体生成素(LH)和血清血促卵泡素(FSH)一定程度上升,但是对照组患者E2下降程度、LH和FSH上升程度更为显著,两组比较差异有统计学意义(P<0.05);两组患者手术结束后均无围绝经期综合征的发生;术后2个月随访发现对照组出现月经改变的患者8例,13例患者出现妊娠,观察组出现月经改变的患者2例,21例患者出现妊娠,两组比较差异显著(P<0.05),具有统计学意义。结论单级、双极电凝的止血方式在腹腔镜不孕症手术对患者的卵巢功能均存在一定程度的影响,但是双极电凝的止血对卵巢功能的影响相对较小,且月经改变发生率较低、术后妊娠率较高,更具临床推广应用价值。
Objective To investigate the effects of single-stage, bipolar coagulation on ovarian function in laparoscopic infertility surgery. Methods From December 2011 to July 2013 in our hospital 80 patients undergoing laparoscopic infertility surgery were randomly divided into the control group and the observation group of 40 cases in the control group patients with single-stage coagulation hemostasis, Patients in observation group were treated with bipolar coagulation to compare the effects of two hemostatic methods on ovarian function. Results Compared with those before operation, serum estradiol (E2) decreased to a certain extent and serum luteinizing hormone (LH) and serum follicle stimulating hormone (FSH) increased to a certain degree 2 months after operation. However, the decrease of E2 in control group And FSH increased more significantly, the difference between the two groups was statistically significant (P <0.05); no post-operative climacteric syndrome in both groups occurred after surgery; 2 months after follow-up found that the control group had menstrual changes Of the patients in 8 cases, 13 cases of pregnancy, observation group there were 2 patients with menstrual changes, 21 patients with pregnancy, the difference between the two groups was significant (P <0.05), with statistical significance. Conclusion The single-stage, bipolar coagulation hemostasis in laparoscopic infertility surgery on patients with ovarian function have a certain extent, but the bipolar coagulation of the hemostasis on ovarian function is relatively small, and the occurrence of menstrual changes Lower rate, higher postoperative pregnancy rate, more clinical application value.