序贯式止血法用于腹腔镜卵巢囊肿剥除术.docVIP

精品论文 参考文献 序贯式止血法用于腹腔镜卵巢囊肿剥除术 江红 　　东莞市中医院妇产科广东东莞523000 　　【摘要】 　　目的：探讨腹腔镜下卵巢囊肿剥除术中采用序贯式止血法对卵巢功能的影响。方法：收取2010年6月至2013年3月在我院进行治疗的60例良性卵巢囊肿患者为研究对象，将其随机分为观察组（序贯式止血法）30例和对照组（双极电凝止血法）30例，分别于术前、术后3个月、术后6个月抽血采用检测雌二醇(E2)、促黄体生成激素(LH)、卵泡雌激素(FSH)、孕酮(P)、睾酮(T)水平，于术后3个月和6个月监测月经变化。结果：术后3个月观察组患者各激素水平与术前相比差异无统计学差异（P＞005），对照组E2下降,LH、FSH升高，与术前对比差异有统计学差异（P＜005）；术后6个月，两组患者激素水平与术前对比差异无统计学意义(Pgt;005)。结论：腹腔镜下卵巢囊肿剥除创面电凝止血会引起???巢功能的损害，而采用序贯式止血可更好的保留其功能，有利于保留患者术后的生育功能，值得临床推广应用。 　　【关键词】腹腔镜；卵巢囊肿剥除术；贯序式止血；卵巢功能 　　【Abstract】 　　Objective To explore the Influence of Sequential hemostasis on ovarian function during Laparoscopic ovarian cystectomy. Methods For the 2010 June to 2013 March in our hospital for treatment of 60 cases of benign ovarian cystectomy patients as the research object，then they were randomly divided into observation group (Sequential hemostasis）30 case and the control group (bipolar coagulation hemostasis）30case.The level of estradiol(E2),follicle 　　stimulating hormone(FSH),luteotropic hormone(LH),progesterone(P),testosterone(T),were measured respectively before the surgery,three months and six months after the surgery.More 　　over,Monitored menstruation three months and six months after the surgery．Results Observation 3 months after operation the hormone levels and patients compared no significant difference (Pgt;005)，the control group decreased E2，LH，FSH elevated，compared with preoperative difference had statistical difference (P lt; 005); 6 months after operation，two groups of hormone levels were compared with the preoperative no statistically significant differences (Pgt;005).Conclusion Sequential hemostasis on ovarian function wound by electric coagulation hemostasis can cause ovarian function damage，facilitates the retention of postoperative patients of reproductive function，it is worthy of clinical application. 　　【Key words】Laparoscope; ovarian cystectomy；Sequential hemostasis；ovarian function 　　【中图分类号】R1927 　　【文献标识码】B【文章编号】16748999(2013)12006602 　　卵巢肿瘤是常见的妇科肿瘤。多发