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目的探讨腹腔镜卵巢囊肿剥除术中使用不同止血方法对卵巢功能的影响。方法选择48例单侧卵巢良性囊肿患者进行腹腔镜下卵巢囊肿剥除术,按止血方式的不同分为两组:套圈结扎配合肾上腺素组为观察组,双极电凝为对照组,每组各24例。于术前、术后1个月和术后6个月检测E2、FSH、LH并随访。结果两组术后1个月时卵巢储备功能各项指标差异无显著性(P>0.05),术后6个月时对照组出现E2下降,FSH、LH水平显著高于观察组,差异有显著性(P<0.05)。结论腹腔镜卵巢囊肿剥除创面采用双极电凝止血会对卵巢功能造成损害,而使用套圈结扎配合肾上腺素止血对卵巢功能影响较小。
Objective To investigate the effect of different hemostatic methods on ovarian function in laparoscopic ovarian cyst stripping. Methods Forty-eight patients with unilateral benign ovarian cysts underwent laparoscopic ovarian cyst excision. The patients were divided into two groups according to the mode of hemostasis: the ligation of the collar ring and adrenaline group as the observation group, the bipolar coagulation as the control group, Group of 24 cases. Preoperative, postoperative 1 month and postoperative 6 months E2, FSH, LH and follow-up. Results There was no significant difference in the indexes of ovarian reserve one month after operation between two groups (P> 0.05). At 6 months after operation, E2 decreased and the levels of FSH and LH in the control group were significantly higher than those in the observation group (P <0.05). Conclusion laparoscopic ovarian cyst stripping wound using bipolar coagulation will cause damage to ovarian function, and use of ferrules ligation with epinephrine to stop ovulation less effect.