腹腔镜下卵巢肿瘤剥除术不同止血方法对患者卵巢功能恢复的影响

Laparoscopic ovarian tumor stripping effect of different hemostatic methods on the recovery of ovarian function

目的 研究腹腔镜下卵巢肿瘤剥除术（Ovarian tumor resection,OTR）不同止血方法对病患卵巢功能恢复的影响.方法 从2012年2月-2013年5月确诊为良性卵巢肿瘤病患中选取173例,用数字法随机分为A组（85例）与B组（88例）,两组均行腹腔镜下OTR.其中A组行缝合法止血,B组行电凝法止血,观察两组不同方法止血后患者卵巢功能恢复情况.结果 E2和Fo水平在止血处理后两组均呈不同程度降低,但A组减少较B组更加明显,FSH与LH指标在止血操作后也均呈相同升高趋势,而A组较B组增加显著,差异均有统计学意义（均P＜0.05）.A组疗效为优者占比为70.59％（60/85例）,优良率为94.12（80/85例）,均显著高于B组的53.41％（47/88例）和78.41％（69/88例）,差异均有统计学意义（均P＜0.05）.结论 缝合法用于腹腔镜下OTR后止血疗效显著,使患者卵巢功能得到很好恢复.

Objective To study effect of different hemostatic methods of laparoscopic ovarian tumor resection （Ovarian tumor resection,OTR） on patient recovery of ovarian function.Methods 173 patients diagnosed with benign ovarian tumor were randomly divided into A group （85 cases） and B group （88 cases）.The two groups underwent laparoscopic OTR.The A group underwent suture hemostasis and the B group underwent electrocoagulation hemostasis.The ovarian function recovery was observed.Results E2 and Fo in the two groups were decreased after treatment.E2 and Fo of A group were more obviously decreased than that of B group.FSH and LH were increased after operation.The therapeutic effect of A group was better than that of B group （P＞0.05）.Conclusion It is effective to treat OTR under laparoscopic with suture.The patients can well restore ovarian function.