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目的比较不同止血方式对腹腔镜下卵巢囊肿剥除术后患者卵巢近期功能的影响。方法随机将2011年12月至2013年12月在济源市妇幼保健院进行腹腔镜卵巢囊肿剥除术的92例患者分为治疗组与对照组两组,每组46例。治疗组采取镜下缝合止血,对照组采取单极电凝止血。比较两组患者术前1个月、术后1个月、术后3个月的性激素水平。结果两组患者术前各项性激素水平比较差异未见统计学意义(P>0.05)。治疗组术后1个月及3个月雌二醇、孕酮、睾酮水平略有下降,卵泡刺激素及促黄体生成素略有升高,但与术前比较差异未见统计学意义(P>0.05)。而对照组术后1个月及3个月的雌二醇、孕酮、睾酮水平明显下降,卵泡刺激素及促黄体生成素明显升高,与术前相比差异有统计学意义(P<0.01)。结论腹腔镜下卵巢囊肿剥除术采取镜下缝合止血对卵巢功能的影响较小,可在临床中推广应用。
Objective To compare the effects of different hemostatic methods on the ovarian function in patients with laparoscopic ovarian cyst after ablation. Methods A total of 92 patients with laparoscopic ovarian cyst excision in MCH from December 2011 to December 2013 were randomly divided into treatment group and control group, with 46 cases in each group. The treatment group was treated with microsurgical stitching and hemostasis, while the control group was treated with unipolar coagulation. The levels of sex hormones in the two groups were compared one month before operation, one month after operation and three months after operation. Results There was no significant difference in preoperative sex hormones between the two groups (P> 0.05). The levels of estradiol, progesterone and testosterone in the treatment group decreased slightly at 1 month and 3 months after operation, while the levels of follicle stimulating hormone and luteinizing hormone increased slightly, but the difference was not statistically significant > 0.05). However, the levels of estradiol, progesterone and testosterone in the control group decreased significantly at 1 month and 3 months after operation, and the levels of follicle stimulating hormone and luteinizing hormone were significantly higher than those before operation (P < 0.01). Conclusion Laparoscopic removal of ovarian cyst by microsurgical stitching hemostasis less effect on ovarian function, which can be widely used in clinical practice.