垂体后叶素在腹腔镜卵巢巧克力囊肿剥除术中止血作用.doc

垂体后叶素在腹腔镜卵巢巧克力囊肿剥除术中止血作用[摘要] 目的 观察垂体后叶素在腹腔镜卵巢巧克力囊肿剥除术中的止血作用。方法 选择2008年1月～2011年5月我院行腹腔镜下卵巢巧克力囊肿剥除术205例，随机分为两组：观察组135例，其中单侧96例，双侧39例，腹腔镜下宫体及卵巢系膜注射垂体后叶素；对照组70例，其中单侧49例，双侧21例，腹腔镜术中未用垂体后叶素。比较两组手术时间、术中出血量、手术前后血红蛋白的变化、术后最高体温及术后肛门排气时间。结果 观察组的手术时间、术中出血量、手术后血红蛋白降低明显少于对照组，两组比较差异有显著性（P＜0.01）；两组患者术后最高体温、肛门排气时间比较差异无统计学意义（P＞0.05）。结论 腹腔镜卵巢巧克力囊肿剥除术中应用垂体后叶素可以有效缩短手术时间，减少术中出血，减少卵巢电凝机会，保护卵巢功能。 [关键词] 腹腔镜；卵巢巧克力囊肿；垂体后叶素 [中图分类号] R713[文献标识码] B [文章编号] 1673-9701（2011）27-91-02 The Hemostatic Effects of Hypophysin in Shelling Out Endometriotic Ovary-cyst under Laparoscopy WANG Hongcai Department of Gynecology，Zibo City Maternal and Child Health Hospital，Zibo 255029，China [Abstract] Objective To observe the hemostatic effects of hypophysin in shelling out endometriotic ovary-cyst under laparoscopy. Methods All 205 cases who were all practiced shelled out endometriotic ovary-cyst under laparoscopy in our hospital from January 2008 to May 2011. They were divided into two groups at random. The observation group had 135 cases and were all injected hypophysin in uterus and mesovarium under laparoscopy，one-side were 96 cases，two-side were 39 cases. The control group had 70 cases and were all not injected hypophysin in operation under laparoscopy，one-side were 49 cases，two-side were 21 cases. To compare the two groups in operation time，volume of blood bleeded in operation，the change of hemoglobin in perioperatively，the highest body temperature and the passage of gas by anus time after operation. Results The operation time，volume of blood bleeded in operation and the change of hemoglobin in perioperatively in observation group cut down obviously were not so many as control group， the difference was significant difference between two groups（P＜0.01）. There were no significant difference in highest body temperature and the passage of gas by anus time after operation between two groups（P＞0.05）. Conclusion The use of hypophysin in shelling out endometriotic ovary-cyst under laparoscopy may s