论文部分内容阅读
目的对比腹腔镜下卵巢肿瘤剥除术中缝合止血与电凝止血的临床效果。方法选取2014年5月-2015年5月80例在荆门市第二人民医院进行腹腔镜下卵巢肿瘤剥除术患者作为观察对象,其中40例为观察组,采用缝合止血的方式;另外40例为对照组,采用电凝止血方式。对两组患者的手术时间、术中出血量、住院时间进行对比;观察对比两组患者的不良反应发生情况;再观察两组患者在治疗前和治疗后3个月、6个月的血清黄体生成激素(LH)、促卵泡成熟激素(FSH)和雌二醇(E2)的情况。结果两组患者的手术时间、术中出血量、住院时间比较,差异无统计学意义(P>0.05);观察组有3例患者出现了不良反应,对照组有11例患者出现了不良反应,两组比较,差异具有统计学意义(χ~2=5.541 1;P<0.05);在治疗前,两组患者的血清E2、FSH、LH水平差异不大(P>0.05),在治疗后,观察组患者的血清E2、FSH、LH情况明显优于对照组,两组比较,差异具有统计学意义(P<0.05)。结论在腹腔镜下卵巢肿瘤剥除术中缝合止血具有较好的效果,患有效减少了患者出现不良反应的情况,并且在术后患者的血清E2、FSH、LH有了较好的恢复,治疗的安全性和可行性较高,具有较高的医学意义,值得临床推广。
Objective To compare the clinical effects of suture hemostasis and electrocoagulation to stop bleeding in laparoscopic ovarian tumor stripping surgery. Methods From May 2014 to May 2015, 80 patients undergoing laparoscopic ovarian tumor resection in the Second People’s Hospital of Jingmen City were selected as observation objects, of which 40 were in the observation group and were treated by suture and hemostasis. Another 40 patients For the control group, using coagulation method. The operation time, intraoperative blood loss and hospital stay were compared between the two groups. The incidence of adverse reactions was compared between the two groups. The levels of serum progesterone in the two groups before and 3 months and 6 months after treatment were also observed. Production of hormones (LH), follicle stimulating hormone (FSH) and estradiol (E2). Results There was no significant difference in operation time, blood loss and length of hospital stay between the two groups (P> 0.05). Adverse reactions were observed in 3 patients in the observation group and in 11 patients in the control group. The difference was statistically significant (χ ~ 2 = 5.541 1; P <0.05) between the two groups. Before treatment, serum E2, FSH and LH levels were not significantly different between the two groups (P> 0.05) The serum levels of E2, FSH and LH in the observation group were significantly better than those in the control group. There was significant difference between the two groups (P <0.05). Conclusions In laparoscopic ovarian tumor stripping surgery, suture hemostasis has a good effect, effectively reducing the patient adverse reactions, and in patients with postoperative serum E2, FSH, LH have a good recovery, treatment The safety and feasibility of higher, with high medical significance, it is worth clinical promotion.