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目的探讨腹腔镜卵巢囊肿剔除术中缝合止血与电凝止血对卵巢功能的影响。方法选择2014年11月-2015年11月该院接诊的260例需行腹腔镜下卵巢囊肿剔除术的患者,通过随机数表法分为A组和B组,每组130例。A组术中对创面使用缝合止血,B组使用电凝止血。观察两组患者手术前后卵巢功能变化,记录手术时间、术中出血量以及术后排卵、月经情况。结果 A组在术后1、3个月时卵泡刺激素(FSH)、黄体生成素(LH)水平比B组低,雌二醇(E2)水平比B组高(P<0.05);两组患者在手术时间、术中出血量上比较无统计学差异[(46.15±13.26)min比(45.87±12.42)min,(50.76±17.59)ml比(51.98±17.64)ml],P>0.05;A组在排卵异常、经期延长、经量过少的人数上均比B组少[5.38%(7/130)比18.46%(24/130),2.31%(3/130)比12.31%(16/130),0.76%(1/130)比7.69%(10/130)],P<0.05。结论在腹腔镜卵巢囊肿剔除术中使用缝合止血,对卵巢功能影响较小。
Objective To investigate the effects of suture hemostasis and electrocoagulation hemostasis on ovarian function during laparoscopic ovarian cyst excision. Methods From November 2014 to November 2015, 260 patients undergoing laparoscopic ovarian cyst resection in our hospital were divided into group A and group B by random number table method, with 130 cases in each group. A group of intraoperative suture hemostasis on the wound, B group using electrocoagulation to stop bleeding. The changes of ovarian function before and after operation were observed in both groups. The operation time, intraoperative blood loss, ovulation and menstruation were recorded. Results The levels of FSH and LH in group A were lower than those in group B at one month and three months after operation. The level of estradiol (E2) in group A was higher than that in group B (P <0.05) (46.15 ± 13.26) min (45.87 ± 12.42) min, (50.76 ± 17.59) ml (51.98 ± 17.64) ml], P> 0.05; A The number of patients with abnormal ovulation, prolonged menstrual period, and the number of patients who undergone overweight were less than those in group B [5.38% (7/130) vs 18.46% (24/130), 2.31% (3/130) vs 12.31% (16 / 130), 0.76% (1/130) vs 7.69% (10/130)], P <0.05. Conclusion Laparoscopic ovarian cyst resection using suture hemostasis, less effect on ovarian function.