不同止血方式对腹腔镜卵巢囊肿剔除术卵巢功能的影响

Influence of ovarian function with different hemostatic way for lap aroscopic ovarian cyst operation

目的:观察不同止血方式对腹腔镜卵巢囊肿剔除术卵巢功能的影响。方法:将60例腹腔镜下卵巢囊肿剥除术患者随机分为治疗组和对照组各30例,治疗组术后行缝合止血处理,对照组术后行电凝止血处理,比较2组对卵巢功能的影响。结果:术后6个月,治疗组的促黄体生成激素(LH)、卵泡刺激素(FSH)、雌二醇(E2)变化幅度显著小于对照组;术后随访1年,治疗组发生月经量少、头发稀少、周期延长的例数显著低于对照组,2组比较,差异均具有统计学意义(P<0.05)。结论:腹腔镜下卵巢囊肿剥除术镜下缝合止血不加重对患者的卵巢功能的影响,改善了患者生存质量,值得临床推广应用。

Objective：To observe different hemostatic way for laparoscopic ovarian cyst operation to eliminate the influence of ovarian function.Methods：Will sixty cases of laparoscopic ovarian cyst sipping surgery patients were randomly divided into treatment group and control group and each group was 30 patients,the treatment group and control group in line suture hemostatic treatment after an electrocautery unit line blood treatment,compared between the two groups for the influence of ovarian function.Results：After 6 months,the treatment group generated luteinizing hormone（LH）,follicle - stimulating hormone（FSH）,estradiol（E2） change amplitude significant less than control group;In the follow - up of 1 year,the treatment group happen menstrual quantity was less,thinning hair,cycle extended number were significantly lower than those of the control group,two groups of comparisons,the differences were significant（P0.05）. Conclusion：Laparoscopic ovarian cyst sipping technique microscopically suture hemostatic din＇t add to the influence of the patients with ovarian function,and could improve the patients quality of life,it＇s worth clinical application.