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电凝止血法对腹腔镜下卵巢巧克力囊肿剥除术患者预后的影响 被引量:2

Effect of Electrocoagulation Hemostasis on Prognosis of Laparoscopic Cystectomy Ovarian Chocolate Cyst
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摘要 目的研究电凝止血法对腹腔镜下卵巢巧克力囊肿剥除术患者预后的影响。方法选取69例于我院在2016年1月至2018年12月之间行腹腔镜卵巢巧克力囊肿手术的患者,根据患者术中止血方法将其分为对照组34例和观察组35例。对照组患者在术中采用缝合止血,观察组患者在术中采取电凝止血,比较两组患者恢复效果。结果术后1个月,观察组的LH、FSH均明显高于对照组(P均<0.05),E2明显低于对照组患者(P<0.05);术后6个月,两组患者的LH、E2、FSH水平均恢复至治疗前水平;术后1个月,观察组的PI、RI、PSV均明显高于对照组(P均<0.05),卵巢直径、F0、EDV均明显低于对照组(P均<0.05);术后6个月,两组患者的卵巢直径及PSV、EDV、PI、RI均恢复至治疗前水平,观察组的F0仍低于正常水平,而对照组的F0恢复至术前水平(P<0.05);观察组发生月经紊乱、卵巢功能减退、心悸及潮热情况例数均明显多于对照组(P均<0.05)。结论腹腔镜下卵巢巧克力囊肿手术采用电凝止血法对患者的卵巢功能较缝合止血法影响较大,临床医师应提高手术技能,选取合适的方法为患者治疗。 Objective To investigate the effect of electrocoagulation hemostasis on the prognosis of laparoscopic cystectomy for ovarian chocolate cyst. Methods 69 patients with laparoscopic surgery of ovarian chocolate cyst between January 2016 and December 2018 were divided into control group(34 cases) and observation group(35 cases).The patients in control group were treated with suture method to stop bleedingand the patients in observation group were treated with electrocoagulation method.The prognosis of the two groups was compared.Results The levels of serum LH,FSH and PI,RI,PSV inobservation group on the first month after operation were significantly higher than those of control group(P<0.05),and the level of serum E2 and ovarian diameter,F0 and EDV was significantly lower than those of control group(P<0.05).On the sixth month after operation,the serum LH,E2,and FSH levels and ovarian diameter,PSV,EDV,PI and RI in the two groups recovered to the pre-treatment levels.The prevalence of menstrual disorders,ovarian dysfunction,palpitations and hot flashes in observation group was higher that of control group(P<0.05).Conclusion Laparoscopic surgery for ovarian chocolate cyst with electrocoagulation hemostasis has greater impact on patients’ ovarian function than suture hemostasis.
作者 梁惠虹 杨云 胡方慧 LIANG Hui-hong;YANG Yun;HU Fang-hui(Gaoyao District People's Hospital,Zhaoqing Guangdong 526040,China)
出处 《湖北科技学院学报(医学版)》 2019年第6期476-478,共3页 Journal of Hubei University of Science and Technology(Medical Sciences)
关键词 电凝止血法 腹腔镜 卵巢子宫内膜异位囊肿 Electrocoagulation hemostasis Laparoscopy Ovarian endometriosis cyst
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