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目的评估缝合止血在卵巢囊肿剥除术中对卵巢功能的保护作用。方法选择2011年12月至2012年7月行腹腔镜卵巢囊肿剥除术的83例患者作为研究对象,所有患者随机分为两组,对照组40例术中采用电凝止血,观察组43例术中采用缝合止血,比较两组患者的卵巢功能康复情况。结果术后6个月观察组患者的卵巢大小、卵巢间质动脉血流的收缩期峰值(PSV)明显大于对照组,窦卵泡数(F)明显多于对照组,组间差异均有统计学意义(均P<0.05);治疗后6个月观察组患者的血清雌二醇(E2)明显低于对照组、黄体生成素(LH)和促卵泡激素(FSH)明显高于对照组,组间差异均有统计学意义(均P<0.05)。结论缝合止血在卵巢囊肿剥除术中应用效果满意,具有明显的卵巢功能保护作用,是首选的止血方案。
Objective To evaluate the protective effect of suture hemostasis on ovarian function during ovarian cyst excision. Methods 83 patients with laparoscopic ovarian cyst excision from December 2011 to July 2012 were selected as study subjects, all patients were randomly divided into two groups, the control group of 40 patients were treated with electrocoagulation to stop bleeding, the observation group 43 cases Intraoperative suture hemostasis to compare the two groups of patients with ovarian function rehabilitation. Results The ovarian and ovarian interstitial blood flow peak systolic peak (PSV) in the observation group was significantly greater than that in the control group at 6 months after operation, and the number of antral follicles (F) in the observation group was significantly more than that in the control group (P <0.05). The serum estradiol (E2) of the observation group was significantly lower than that of the control group at 6 months after treatment, and the levels of luteinizing hormone (LH) and follicle stimulating hormone (FSH) were significantly higher than those of the control group There were significant differences between the two groups (all P <0.05). Conclusion Suture hemostasis in ovarian cyst stripping surgery with satisfactory results, with significant ovarian function protection, is the preferred hemostatic program.