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目的:对比和探讨双极电凝和缝合止血法对腹腔镜子宫切除术患者卵巢功能的影响。方法:所有患者均于全麻后常规行腹腔镜下子宫切除手术,并进行止血处理。研究组患者均采用双极电凝止血法,对照组患者均行缝合止血法。结果:两组患者术前激素水平各指标无显著差异(P>0.05),术后1个月和3个月FSH、LH、INHB、E2研究组与对照组比较具有显著差异(P<0.05)。结论:双极电凝法和缝合止血法对患者的卵巢功能均有影响,但双极电凝法的损伤程度更大。
Objective: To compare and explore the effects of bipolar coagulation and suture hemostasis on ovarian function in patients undergoing laparoscopic hysterectomy. Methods: All patients underwent routine laparoscopic hysterectomy after general anesthesia and hemostasis. Patients in the study group were treated with bipolar coagulation and hemostasis, and patients in the control group were treated with suture and hemostasis. Results: There was no significant difference in the preoperative hormone levels between the two groups (P> 0.05). FSH, LH, INHB and E2 in the two groups at one month and three months after operation were significantly different from those in the control group (P <0.05) . Conclusion: Bipolar electrocoagulation and suture hemostasis have effects on the ovarian function of patients, but bipolar electrocoagulation is more damaging.