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目的:探讨腹腔镜卵巢囊肿剔除术不同止血方式对患者卵巢功能的影响。方法:腹腔镜卵巢囊肿剔除术患者124例,依据术中止血方式不同分为2组,观察组62例术中应用传统方法缝合止血,对照组62例应用双极电凝钳止血,比较2组术前,术后第2,6个月卵泡刺激素、黄体生成素、雌二醇水平及卵泡数和卵巢功能衰退发生率。结果:观察组术后第2,6个月卵泡刺激素、黄体生成素、雌二醇水平、卵泡数与术前比较差异无统计学意义(P>0.05),对照组术后第2,6个月卵泡刺激素水平及卵泡数与术前比较差异有统计学意义(P<0.05),术后第6个月黄体生成素、雌二醇水平与术前比较差异有统计学意义(P<0.05)。结论:腹腔镜下卵巢囊肿剔除术应用传统止血方法对卵巢功能影响较小。
Objective: To investigate the effect of laparoscopic ovarian cyst excision on the ovarian function in patients with different hemostatic methods. Methods: 124 cases of laparoscopic ovarian cyst excision were divided into two groups according to the way of intraoperative hemostasis. In the observation group, 62 cases were treated by traditional method of suture and hemostasis, while in control group, 62 cases were treated with bipolar coagulation pliers to stop bleeding. Preoperative, postoperative 2, 6 months follicle stimulating hormone, luteinizing hormone, estradiol levels and the number of follicles and ovarian function decline. Results: There was no significant difference in follicle stimulating hormone, luteinizing hormone, estradiol level and follicle number between the 2nd and 6th month after operation in the observation group (P> 0.05) The level of follicle stimulating hormone and the number of follicles in each month were significantly different from those before operation (P <0.05). The level of luteinizing hormone and estradiol in the 6th month after operation were significantly different from those before operation (P < 0.05). Conclusions: Laparoscopic ovarian cyst excision has less effect on ovarian function with traditional hemostasis method.