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目的分析腹腔镜卵巢囊肿剥除术中,不同止血方式对患者卵巢功能的影响。方法将东莞市长安医院2011年12月-2014年12月收治的60例卵巢囊肿患者随机分为A、B两组各30例。两组患者均接受腹腔镜卵巢囊肿剥除术治疗,A组采用电凝法作止血处理,B组则采用传统缝合法,随访6个月,比较两组患者卵巢功能的变化情况,统计两组患者雌二醇(E2)、黄体生成激素(LH)及卵泡雌激素(FSH)水平的变化情况。结果术后,B组E2、FSH、LH水平分别为(199.3±24.3)pmol/L,(10.6±4.3)U/L,(8.2±0.4)U/L,与A组相比差异有统计学意义(P<0.05);术后B组卵巢功能正常率为80.00%,储备功能下降率为20.00%,与A组对比差异有统计学意义(P<0.05)。结论将缝合止血方式用于腹腔镜卵巢囊肿剥除术中,可稳定性激素水平,保护其卵巢功能,降低卵巢储备功能下降率,值得推广。
Objective To analyze the influence of different ways of hemostasis on the ovarian function in patients with laparoscopic ovarian cyst excision. Methods Sixty cases of ovarian cysts from Chang’an Hospital of Dongguan City from December 2011 to December 2014 were randomly divided into A and B groups of 30 cases each. Two groups of patients were treated with laparoscopic ovarian cyst excision. A group was treated with electrocoagulation for hemostasis. Group B was treated by traditional suture method and followed up for 6 months. The changes of ovarian function were compared between the two groups Patients with estradiol (E2), luteinizing hormone (LH) and follicular estrogen (FSH) levels. Results After operation, the levels of E2, FSH and LH in group B were (199.3 ± 24.3) pmol / L, (10.6 ± 4.3) U / L and (8.2 ± 0.4) U / L respectively (P <0.05). The normal ovarian function in group B was 80.00% and the reserve function decreased rate was 20.00% in group B, which was significantly different from that in group A (P <0.05). Conclusion The method of suture hemostasis for laparoscopic ovariectomy can stabilize hormone levels, protect ovarian function and reduce the rate of ovarian reserve decline, which is worth promoting.