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目的探讨腹腔镜下卵巢囊肿剥除术的患者应用不同止血方法对卵巢功能的影响。方法选择2010年7月—2013年7月驻马店市第一人民医院收治的应用腹腔镜下卵巢囊肿剥除术的患者74例,根据止血方法的不同随机分为观察组和对照组各37例,观察组患者术后应用缝合止血法处理,对照组患者应用电凝止血方法处理,对比不同止血方法对两组患者卵巢功能的影响。结果两组患者术前性激素E2、FSH、LH无明显差异(P>0.05),术后两组E2水平降低,FSH和LH水平升高,观察组性激素水平变化幅度小于对照组,差异有统计学意义(P<0.05)。观察组患者排卵异常、经量过少及经期延长例数分别为4例(10.81%)、2例(5.41%)、2例(5.41%),均少于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下卵巢囊肿剥除术后采用缝合的方式行创面止血,可使卵巢功能得到最大程度的保护,不影响患者生存质量。
Objective To investigate the effect of different hemostasis methods on ovarian function in patients with laparoscopic ovarian cyst excision. Methods From July 2010 to July 2013, 74 patients with laparoscopic ovarian cyst excision admitted to First People’s Hospital of Zhumadian City were randomly divided into observation group (37 cases) and control group (37 cases) according to the method of hemostasis. The patients in the observation group were treated with suture and hemostasis after operation. The patients in the control group were treated by electrocoagulation and hemostasis. The effects of different hemostatic methods on ovarian function were compared between the two groups. Results There was no significant difference in E2, FSH and LH between the two groups before operation (P> 0.05). The E2 level decreased and FSH and LH levels increased in the two groups after operation. The changes of sex hormones in the observation group were less than those in the control group Significance (P <0.05). There were 4 cases (10.81%), 2 cases (5.41%) and 2 cases (5.41%) in observation group with abnormal ovulation, over-dose and prolonged menstrual flow, respectively, which were less than those in control group P <0.05). Conclusion Laparoscopic ovarian cyst stripping method using suture wound hemostasis, ovarian function can be the maximum protection, does not affect the quality of life of patients.