序贯式止血法用于腹腔镜卵巢囊肿剥除术的临床研究

Application of Sequential Haemostasis Methods on the Laparoscopic Ovarian Cystectomy

目的:探讨腹腔镜卵巢囊肿剥除术中采用序贯式止血法对卵巢功能的影响。方法:将100例行腹腔镜卵巢囊肿剥除术患者按照抽签法随机地均分为对照组与观察组,对照组给予传统双极电凝治疗,观察组采取序贯式止血法,靠近卵巢门的髓质出血镜下缝合,远离卵巢门行皮质渗血电凝处理。比较两组患者手术前后雌二醇(Estradiol,E2)、促卵泡激素(Follicle-stimulating hormone,FSH)、促黄体生成素(Luteotropic hormone,LH)及围绝经期综合征发生情况。结果:对照组术前与术后3个月及术后6个月E2、FSH及LH差异均具有统计学意义,观察组手术前后激素水平差异无统计学意义,且观察组术后与对照组术后上述指标差异均具有统计学意义;对照组患者术后月经紊乱、植物神经功能紊乱的发生率分别为14.00%与12.00%,观察组为2.00%及0%,两组差异具有显著的统计学意义。结论:序贯式止血法应用于腹腔镜卵巢囊肿剥除术中影响卵巢功能,效果显著,值得在临床上加以推广并应用。

Objective： To investigate the effects of sequential haemostasis method applied to the laparoscopic ovarian cystectomy on the function of ovarian. Methods： 100 cases with ovarian cyst who were treated by laparoscopic ovarian eystectomy in our hospital were selected and randomly divided into the control group and the observation group. The patients in the control group were treated by the conventional bipolar coagulation therapy, while the patients in the observation group were treated by the sequential hemostasis method which could prevent the ovarian medulla bleeding endoscopic suture line away from the door of ovarian cortex oozing coagulation process. Estradiol （Estradiol, E2）, follicle-stimulating hormone （Follicle-stimulating hormone, FSH）, luteinizing hormone （Luteotropic hormone, LH） and the occurrence of perimenopausal syndrome were compared between two groups before and after the surgery. Results： In the control group, preoperative and postoperative 3 months and 6 months after E2, FSH and LH showed statistically significant differences, the observation group hormone levels before and after surgery showed no significant difference, and the observation group and the control group after postoperative differences in these indicators were statistically significant; control group patients menstrual disorders, autonomic dysfunction rates were respectively 14.00% and 12.00%, the observation group was 2.00% and 0%, with statistically significant differences between the two groups. Conclusion： Laparoscopic sequential method is applied to stop bleeding ovarian eystectomy that affect ovarian function, the effect is significant, and it is worth to be applied and promoted in clinical.