腹腔镜下卵巢囊肿剥除术中不同止血方法对术后卵巢功能的影响

Influence of Different Hemostatic Ways during Laparoscopic Oophorocystectomy on Ovarian Functions

目的:探讨腹腔镜下卵巢囊肿剥除术中不同止血方法对术后卵巢功能的影响.方法:选取于笔者所在医院行腹腔镜下卵巢囊肿剥除术患者53例,随机分成两组,试验组采用套扎止血,对照组采用电凝止血.对比两组术前与术后3个月雌二醇(E2)、卵泡刺激素(FSH)水平,统计两组术后3个月术侧及对侧卵巢窦卵泡(Fo)数量及卵巢最大平面平均直径(MOD).结果:两组术前E2、FSH比较,差异均无统计学意义(P>0.05);术后3个月,两组E2均较术前下降,FSH均较术前升高,差异均有统计学意义(P<0.05);试验组E2高于对照组,FSH低于对照组,差异无统计学意义(P>0.05);术后3个月,两组术侧卵巢Fo数量均较对侧减少,术侧MOD均较对侧减小,差异均有统计学意义(P<0.05);试验组术侧卵巢Fo数量多于对照组,术侧MOD大于对照组,差异均有统计学意义(P<0.05).结论:对于单侧卵巢囊性肿瘤患者,在腹腔镜下卵巢囊肿剥除术中采用套扎方法止血能更好地保护术侧卵巢功能.

Objective:To study the influence of different hemostatic ways during laparoscopic oophorocystectomy on ovarian function.Method:A total of 53 patients undergoing laparoscopic oophorocystectomy in our hospital were randomly divided into two groups,the experimental group was treated with ligation hemostasis,and the control group was treated with electrocautery.Before and 3 months after surgery,the levels of estradiol(E2)and follicle-stimulating hormone(FSH)were compared between the two groups,and the number of antral follicles(Fo)in the operative and contralateral ovary and the maximum ovarian diameter(MOD)of the two groups were calculated.Result:The levels of E2 and FSH of the two groups were compared,and the differences were not statistically significant(P>0.05).And 3 months after the surgery,the levels of E2 of the two groups decreased than those before surgery,and the levels of FSH of the two groups increased than those before surgery,and the differences were statistically significant(P<0.05).The level of E2 in the experimental group was higher than that of the control group,and the level of FSH was lower than that of the control group,and the differences were not statistically significant(P>0.05).And 3 months after the surgery,the number of antral follicles(Fo)in the operative ovary of the two groups decreased than those contralateral ovary,and MOD in the operative ovary decreased than those contralateral ovary,and the differences were statistically significant(P<0.05).The number of antral follicles(Fo)in the operative ovary of the experimental group was more than that of the control group,and MOD in the operative ovary was greater than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:For patients with unilateral cystic ovarian tumor,ligation hemostasis is adopted in the laparoscopic oophorocystectomy can better protect ovarian function in the operative side.