腹腔镜卵巢良性肿瘤剔除术中不同止血方式对女性月经及性激素水平的影响

The impact of laparoscopic ovarian benign way of intraoperative bleeding menstruation and sex hormone levels

目的对比分析不同止血方式对腹腔镜卵巢良性肿瘤剔除术女性月经及性激素水平的影响。方法选取2012年5月~2014年5月我院收治的良性卵巢肿瘤病例118例,均行腹腔镜卵巢肿瘤剔除术。根据止血方式将患者分为电凝组（采用双极电凝止血）和缝合组（采用缝合止血）,各59例,比较两组月经情况及性激素水平。结果电凝组经期延长率与缝合组比较明显较高,差异有统计学意义（P〈0.05）;术后6个月电凝组FSH、LH水平高于缝合组,E2、Fo低于缝合组,差异有统计学意义（P〈0.05）。术后6个月缝合组性激素水平与术前比较差异无统计学意义（P〉0.05）。结论腹腔镜卵巢良性肿瘤剔除术中使用缝合止血对月经及性激素影响较小,可使卵巢功能得到最大程度的保护。

Objective To compare the effects of diitbrent methods to stop bleeding dunng laparoscoptc excision ot be- nign ovarian and menstrual sex hormone levels. Methods A total of 118 patients with benign ovarian tumors were se- lected from May 2012 to May 2014 in our hospital, underwent laparoscopic excision of ovarian tumors. According to the hemostasis ways all the patients were divided into two groups, the coagulation group （using bipolar coagulation） and suture group （using hemostasis） with each 59 cases, respectively. The menstruation and sex hormone levels of two groups were compared. Results The coagulation group menstruation rate was significantly higher than that in the su- ture group（P〈0.05）; after six months FSH, LH levels in coagulation group were higher than those in the suture group, E2, Fo was lower than the suture group （P〈0.05）. After six months suture group sex hormones and surgery compared with before operation had no significant difference （P〉0.05）. Conclusion Laparoscopie excision of benign ovarian hemostasis using less impact on menstruation and sex hormones, no significant changes in menstruation, ovarian func- tion can be the greatest degree of protection.