本文選題：腹腔鏡 + 卵巢囊腫剝除術(shù)　； 參考：《現(xiàn)代生物醫(yī)學(xué)進(jìn)展》2016年30期

【摘要】：目的:探究腹腔鏡下卵巢囊腫剝除術(shù)后縫合與電凝止血對(duì)卵巢功能的影響。方法:選擇2014年5月~2015年12月期間我院收治卵巢囊腫患者78例為研究對(duì)象,兩組患者均行腹腔鏡下卵巢囊腫剝除術(shù),根據(jù)患者術(shù)中止血方式的不同將其分為觀察組(41例)和對(duì)照組(37例);觀察組術(shù)中采用雙極電凝止血,對(duì)照組患者性術(shù)中采用縫合止血;觀察并比較術(shù)后4周、12周兩組患者促卵泡生長(zhǎng)激素(FSH)、促黃體激素(LH)、雌二醇(E2)及竇狀卵泡計(jì)數(shù)(Shape of sinus follicle count,AFC),對(duì)比兩組術(shù)后12周卵巢功能恢復(fù)情況。結(jié)果:術(shù)后4周兩組患者FSH、LH水平較術(shù)前升高,E2及AFC水平較術(shù)前降低,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后12周對(duì)照組FSH、LH、E2及AFC水平與術(shù)前比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),觀察組患者FSH、LH水平較術(shù)前升高,E2及AFC水平較術(shù)前降低,且觀察組患者FSH、LH水平高于對(duì)照組,E2及AFC水平低于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后12周,觀察組患者出現(xiàn)排卵異常、經(jīng)量過(guò)少及經(jīng)期延長(zhǎng)的發(fā)生率均高于對(duì)照組(P0.05)。結(jié)論:縫合止血在腹腔鏡下卵巢囊腫剝除術(shù)止血對(duì)患者卵巢功能的損傷作用小于電凝止血,術(shù)后卵巢功能恢復(fù)快,臨床上應(yīng)當(dāng)優(yōu)選縫合止血,降低對(duì)卵巢功能的影響。
[Abstract]:Objective: to investigate the effect of suture and electrocoagulation on ovarian function after laparoscopic ovarian cyst excision.Methods: 78 patients with ovarian cyst were selected from May 2014 to December 2015 in our hospital. The two groups were treated with laparoscopic exfoliation of ovarian cyst.According to the difference of hemostasis, the patients were divided into observation group (n = 41) and control group (n = 37).The follicle growth hormone (FSH), luteinizing hormone (LHH), estradiol (E 2) and antral follicle count (shape of sinus follicle count AFCU) were observed and compared between the two groups at 4 and 12 weeks after operation.Results: at 4 weeks after operation, the levels of FSH LH and FSH LH in the two groups were significantly lower than those in the preoperative group, and the levels of FSH LHN E2 and AFC in the control group at 12 weeks after operation were significantly lower than those before the operation, and the levels of FSH LHN E2 and AFC in the control group were compared with those before the operation.There was no significant difference between the two groups (P 0.05). The levels of AFC and E 2 in the observation group were lower than those in the control group, and the levels of E 2 and AFC in the observation group were higher than those in the control group, and there were significant differences between the two groups (P 0.05), 12 weeks after the operation, there was no significant difference between the two groups.The incidence of abnormal ovulation in the observation group was higher than that in the control group.Conclusion: the effect of suture hemostasis on ovarian function in laparoscopic excision of ovarian cyst is less than that of electrocoagulation, and the recovery of ovarian function is faster after operation, so we should select suture to stop bleeding clinically and reduce the influence on ovarian function.
【作者單位】： 解放軍第309醫(yī)院婦產(chǎn)科;解放軍第316醫(yī)院婦產(chǎn)科;
【分類(lèi)號(hào)】：R713.6

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