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腹腔镜卵巢囊肿剥除术序贯式止血法对患者卵巢功能的影响探讨

The effect of sequential hemostasis method on ovarian function in patients with laparoscopic ovarian cyst
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摘要 目的探讨腹腔镜卵巢剥除术中使用序贯式止血法对患者术后卵巢功能的影响。方法以78例单侧良性卵巢囊肿患者为研究对象,随机分为对照组38例、试验组40例,对照组术中采用传统的双极电凝止血法,试验组采用序贯式止血法。对比2组患者术前及术后6个月卵巢功能情况。结果术后6个月对照组FSH、E2等激素水平及AFC计数变化明显(P<0.05),试验组无明显变化;对照组月经紊乱、卵巢储备下降发生率显著高于试验组(P<0.05)。结论腹腔镜卵巢囊肿剥除术中采用序贯式止血法对卵巢生理功能影响较小,可以对卵巢进行较好的保护,有利于患者术后正常生理功能尽快恢复。 Objective Toinvestigatetheeffectofsequentialhemostasismethodonovarianfunctionafterlaparoscopicovarian surgery. Methods To study the 116 cases of patients with unilateral benign ovarian cyst,randomly divided into a control group of 56 cases and 60 cases of experimental group. The control group used the method of bipolar coagulation hemostasis,and the experimental group used the method of sequential hemostasis. The ovarian function of two groups was compared before and after operation in six months. Results Thechangeof FSH,E2 and AFC in controlgroup wassignificantly6 monthsafteroperation,P〈0.05,buttherewas no obviouschangeintheexperimentalgroup.Theincidenceofmenstrualdisordersandovarianreserveinthecontrolgroupwassignificantly higher than that in the experimental group,P〈0.05.Conclusion In laparoscopic ovarian cyst removal,the effect of sequential therapy onovarianphysiologicalfunctionissmallandconducivetotherecoveryofnormalphysiologicalfunctionaftersurgery.
作者 敖强 王永周
出处 《基层医学论坛》 2016年第8期1021-1023,共3页 The Medical Forum
关键词 卵巢囊肿剥除术 腹腔镜 序贯式止血法 卵巢功能 Oophorocystectomy Laparoscope Sequential hemostasis Ovarian cyst
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