腹腔镜手术中不同止血方法分析

Analysis of different hemostatic methods in laparoscopic surgery

目的分析腹腔镜手术中不同止血方法处理卵巢囊肿剥离面对其功能恢复的影响。方法选取就诊本院要求行经腹腔镜行卵巢囊肿剥离术的60例患者。随机分为2组:缝合组(S组)30例与压迫止血组(O组)30例。检测2组患者抗苗勒氏管激素(AMH)的改变及患者术前、术后双侧卵巢储备卵泡数量及相应时间月经变化情况。结果术后压迫止血组患者AMH水平变化最小且恢复最快(P<0.05),卵泡数及月经恢复最快(P <0.05)。结论腹腔镜手术卵巢囊肿剥离面选用压迫止血对卵巢功能保护较好。

Objective To analyze the effect of different hemostasis methods on the recovery of ovarian cyst. Methods 60 patients who were admitted to our hospital for laparoscopic ovarian cyst dissection were selected. The patients were randomly divided into 2 groups:the suture group(the group S)and the compression hemostasis group(the group O). The changes of AMH, the number of ovarian follicles in both preoperative and postoperative patients and the changes of menstruation in the two groups were measured. Results The AMH level of patients with postoperative hemostasis had the least change and the fastest recovery(P < 0.05), and the most rapid recovery(P <0.05). Conclusion The choice of compression hemostasis on the dissection surface of ovarian cyst in laparoscopic surgery is good for the protection of ovarian function.