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目的分析和研究对腹腔镜下卵巢囊肿剔除术患者手术过程中应用不同的止血手段对患者术后卵巢功能的改变。方法将2011年1月~2013年1月期间在本院妇科住院的治疗的106例卵巢囊肿患者随机分为治疗组和观察组,每组各53例,其中治疗组患者手术过程中采取电凝止血,观察组患者采取手术缝合和压迫止血。术后对两组患者卵巢激素进行定期化验,观察其改变情况。结果治疗组患者和观察组患者分别有2例和1例患者出现卵巢功能早期衰减,两组比较差异有统计学意义(P>0.05)。术后治疗组和观察组患者的血清雌二醇和卵泡刺激素分泌水平较术前比较差异有统计学意义(P<0.05);而两组患者的孕酮、黄体生成素分泌水平比较差异无统计学意义(P>0.05)。结论通过腹腔镜行卵巢囊肿剔除术过程中应用电凝止血可引起患者术后卵巢功能过早衰减,术中应避免应用电凝止血,尽量采取手术缝合和压迫止血。
Objective To analyze and study the changes of postoperative ovarian function in patients undergoing laparoscopic surgery for ovarian cyst by applying different hemostasis measures. Methods One hundred and six patients with ovarian cyst treated in our hospital from January 2011 to January 2013 were randomly divided into treatment group and observation group with 53 cases in each group. The patients in the treatment group were treated with electrocoagulation Hemostasis, observation group patients with surgical suture and compression to stop bleeding. Ovarian hormones were routinely tested in two groups after surgery to observe the changes. Results Two cases and one case of patients in treatment group and observation group had early decay of ovarian function, the difference between the two groups was statistically significant (P> 0.05). Postoperative treatment and observation group patients with serum estradiol and follicle stimulating hormone secretion compared with the preoperative difference was statistically significant (P <0.05), while the two groups of patients with progesterone and luteinizing hormone secretion levels were not statistically different Significance (P> 0.05). Conclusion Applying electrocoagulation to stop bleeding during laparoscopic ovarian cyst excision can cause premature decay of ovarian function in patients after surgery. Electrocoagulation and hemostasis should be avoided during operation. Surgical suture and compression should be used to stop bleeding.