【摘要】：目的探討應(yīng)用不同方法處理腹腔鏡下卵巢囊腫剝除術(shù)后創(chuàng)面對殘留卵巢功能的影響。方法選取新疆生產(chǎn)建設(shè)兵團(tuán)醫(yī)院婦科收治的120例卵巢囊腫患者,行腹腔鏡下剝除術(shù)。依對創(chuàng)面給予的相應(yīng)止血治療方法隨機(jī)分為3組:電凝組、超聲組與縫合組,每組各40例。檢測3組患者術(shù)前、術(shù)后即時、術(shù)后3個月、術(shù)后6個月時月經(jīng)第2天外周靜脈血中促卵泡素(FSH)、黃體生成素(LH)、雌二醇(E2)水平,并行經(jīng)陰道超聲測定雙側(cè)卵巢儲備卵泡數(shù)量。同時記錄患者術(shù)后相應(yīng)時間月經(jīng)變化及臨床表現(xiàn)。結(jié)果術(shù)后電凝組患者FSH、LH、E2水平變化最為明顯,超聲組患者次之,縫合組患者變化最小且恢復(fù)最快(P0.05)。電凝組患者術(shù)后儲備卵泡數(shù)量減少最明顯,且不良反應(yīng)發(fā)生率較高。結(jié)論對腹腔鏡下卵巢囊腫剝除術(shù)后的創(chuàng)面,應(yīng)用電凝止血對殘留卵巢功能影響最大,超聲止血與縫合止血對其功能保護(hù)較好。
[Abstract]:Objective to investigate the effect of different methods on residual ovarian function after laparoscopic ovarian cyst exfoliation. Methods 120 cases of ovarian cyst were treated by laparoscopy in the gynecological department of Xinjiang production and Construction Corps Hospital. The wounds were randomly divided into three groups: electrocoagulation group, ultrasound group and suture group, with 40 cases in each group. The levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) in peripheral venous blood were measured before, immediately after operation, 3 months after operation and 6 months after menstruation in three groups, and the levels of follicle stimulating hormone and luteinizing hormone (LH), in peripheral venous blood were measured on the 2nd day after menstruation. The number of bilateral ovarian reserve follicles was measured by transvaginal ultrasound. At the same time, the changes of menstruation and clinical manifestations were recorded at the corresponding time after operation. Results the change of FSH,LH,E2 level was the most obvious in the electrocoagulation group, the second in the ultrasonic group, and the smallest and the fastest in the suture group (P0.05). In the electrocoagulation group, the number of reserve follicles decreased most obviously, and the incidence of adverse reactions was higher. Conclusion for the wounds after laparoscopic ovarian cyst exfoliation, electrocoagulation has the greatest effect on residual ovarian function. Ultrasonic hemostasis and suture hemostasis have better protection on the residual ovarian function.
【作者單位】： 新疆生產(chǎn)建設(shè)兵團(tuán)醫(yī)院(石河子大學(xué)第二附屬醫(yī)院)婦產(chǎn)科;新疆烏魯木齊民族干部學(xué)院門診部;
【分類號】：R737.31

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 侯銳;姜羅;趙福杰;;改良法處理殘留卵巢在腹腔鏡巨大卵巢囊腫剝除術(shù)中的價值[J];中國婦幼保健;2011年08期

【共引文獻(xiàn)】

相關(guān)期刊論文 前4條

1 曾晶;談?wù)滂?鄒芝香;;腹腔鏡下卵巢囊腫剔除術(shù)創(chuàng)面止血方法對子宮內(nèi)膜容受性的影響[J];中外醫(yī)療;2014年25期

2 居寶芹;臧學(xué)利;張本順;齊燕燕;;腹腔鏡下卵巢良性腫瘤剔除術(shù)中不同止血方法處理殘留卵巢對卵巢功能的影響[J];中國臨床保健雜志;2015年04期

3 肖超;肖雪;鄂琪敏;姚遠(yuǎn);;腹腔鏡下卵巢囊腫剝除術(shù)中電凝止血與縫合止血對卵巢儲備功能影響的Meta分析[J];實用婦產(chǎn)科雜志;2015年08期

4 韓杰;;腹腔鏡與開放性卵巢良性腫瘤剝除術(shù)術(shù)后恢復(fù)差異分析[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2014年32期

相關(guān)碩士學(xué)位論文 前1條

1 劉宏煜;骨形態(tài)形成蛋白15在化療大鼠血清及卵巢中的表達(dá)及意義[D];中南大學(xué);2014年

【二級參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 許振洲;馬迎春;;腹腔鏡下巨大卵巢囊腫剝除術(shù)76例效果觀察[J];山東醫(yī)藥;2008年20期

2 黎明鸞;金松;歐曼穎;;腹腔鏡下卵巢腫瘤剝除術(shù)中電凝、縫合止血患者術(shù)后卵巢功能比較[J];山東醫(yī)藥;2010年06期

3 黨群;姚麗;程R，

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