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目的:观察腹腔镜下进行卵巢囊肿剔除术时使用单极电凝止血对卵巢功能的影响,并与缝合止血进行对比分析。方法:选取我院2010年5月～2013年4月收治入院拟行腹腔镜下卵巢囊肿剥除术患者73例,随机分为实验组与对照组,实验组患者在术中实施单极电凝止血,对照组患者在术中实施缝合止血,对比观察两组患者相关激素水平变化情况以分析对卵巢功能的影响。结果:两组患者在治疗后雌二醇、促黄体生存激素、卵泡刺激素水平均有明显改变,且相比对照组,实验组患者的激素水平改变更为明显,P<0.05,差异有统计学意义;孕酮与睾酮水平在治疗前后及两组之间未见明显差异,P>0.05,不具有统计学意义。结论:在腹腔镜下实施卵巢囊肿剥除术中,使用单极电凝止血会对卵巢功能造成一定影响,相比缝合止血其损害更为严重,在临床应用时应当引起注意。
OBJECTIVE: To observe the effect of monopolar electrocoagulation on ovarian function during laparoscopic ovarian cyst excision, and to compare with suture hemostasis. Methods: A total of 73 patients with ovarian cyst excision undergoing laparoscopic admission admitted to our hospital from May 2010 to April 2013 were randomly divided into experimental group and control group. The patients in experimental group were treated with monopolar electrocoagulation Hemostasis, the control group of patients in the operation of suture hemostasis, compared the two groups of patients with changes in hormone levels to analyze the impact on ovarian function. Results: The levels of estradiol, luteinizing hormone and follicle-stimulating hormone in both groups changed significantly after treatment, and compared with the control group, the hormone level in the experimental group changed more obviously (P <0.05) Significance; progesterone and testosterone levels before and after treatment and no significant difference between the two groups, P> 0.05, not statistically significant. Conclusion: In laparoscopic ovarian cyst excision, the use of monopolar electrocoagulation will have a certain impact on ovarian function, compared with the more serious damage to suture hemostasis, should pay attention in clinical application.