不同止血方法对卵巢囊肿术后性激素水平变化的影响

Influence of Hemostasis on the Sex Hormone Levels Post Oophorocystectomy

目的探讨不同止血方法对卵巢囊肿剥出术后性激素水平的影响。方法对比分析卵巢囊肿术中缝合止血及电凝止血对患者术后1和6个月时雌二醇(E2)、卵泡刺激素(FSH)、黄体生成素(LH)水平的影响。结果缝合止血组术前、术后性激素水平的差异无统计学意义,而电凝止血组在术后6个月时E2下降、FSH和LH升高,与术前比较差异有统计学意义(P<0.05)。结论缝合止血对卵巢功能影响较小,术中应尽量保护卵巢功能,微创缝合止血是首选。

Objective To investigate the influence of different ways of hemostasis during enucleation for benign ovarian cyst on the postoperative levels of sex hormones. Methods To compare and analyze the changes of estradiol （E2）,follicie-stimulating hormone （FSH）, luteinizing hormone （LH） levels postoperative of two groups, the suture group and electric coagulation group. Results There was no significant difference on the levels of the sex hormones in the suture group pre- and post-operation. However,there was significant difference in group with electric coagulation pre- and post operation at 6 months postoperative period, a decreasing in estrogen, increasing in FSH and LH （P 〈 0.05 ） were detected. Conclusion The damage of suture hemostasis to ovarian function was lower than that of electric coagulation at 6 months postoperative period. It is important to protect ovarian function during the operation by using the ways of less injury to ovary.