探讨腹腔镜卵巢囊肿手术中两种止血方法对卵巢储备功能的影响.docVIP

精品论文 参考文献 探讨腹腔镜卵巢囊肿手术中两种止血方法对卵巢储备功能的影响 桦南县明义卫生院 154400 摘要： 目的：研究分析腹腔镜卵巢囊肿剥除术中卵巢创面采用双极电凝和缝合两种止血方法对卵巢储备功能的影响。方法：此次研究的对象是选取双侧卵巢良性囊肿患者160例，将其临床资料进行回顾性分析，并根据术中处理卵巢创面的方法不同分为电凝组80例和缝合组80例。比较两组患者术前、术后6个月血清抗苗勒激素（AMH）、卵泡刺激素（FSH）、黄体生成素（LH）、雌二醇（E2）和基础窦卵泡数（AFC），卵巢动脉收缩期峰值血流速度（PSV）的变化，以判断卵巢储备功能。结果：与手术前比较，两组术后FSH、E2均明显升高（Plt;0.05），AMH、AFC、PSV均明显下降（Plt;0.05），而LH无明显变化（Pgt;0.05）。术后组间比较，电凝组术后FSH、E2均高于缝合组（Plt;0.05），AMH、AFC、PSV较缝合组均有明显下降（Plt;0.05）。结论：腹腔镜卵巢囊肿剥除术中卵巢创面采用双极电凝和缝合两种止血方法对卵巢储备功能均有影响，尤其电凝止血对卵巢功能的影响更为显著。 　　关键词： 电凝止血；缝合止血；卵巢储备功能；腹腔镜手术；卵巢囊肿 [Abstract] Objective：To study the effect of two methods of hemostasis on ovarian reserve by bipolar coagulation and suture in laparoscopic ovarian cyst removal. Methods：the object of this study is to select 160 cases of bilateral ovarian cysts were，their clinical data were retrospectively analyzed，and according to the operation in the treatment of ovarian wound method divided for the electrocoagulation group（n = 80）and suture group（n = 80）. Compared between the two groups of patients before and after operation 6 months serum anti Mullerian hormone（AMH），follicle stimulating hormone（FSH），luteinizing hormone（LH），estradiol（E2）and antral follicle number（AFC）and the change of ovarian artery peak systolic velocity（PSV）and to determine the ovarian reserve function. Results：compared with before surgery，two groups of postoperative FSH，Plt;0.05 were significantly increased（E2），AMH，AFC，PSV were significantly decreased（Plt;0.05），and LH no significant change（Pgt;0.05）. After the surgery，the postoperative FSH and E2 were higher than those in the suture group（Plt;0.05），AMH，AFC，PSV were significantly decreased（Plt;0.05）compared with the suture group. Conclusion：bipolar coagulation and suture of two kinds of hemostasis methods have effect on ovarian reserve function，especially the effect of coagulation and hemostasis on ovarian function is more significant. [Key words] electric coagulation hemostasis；suture hemostasis；ovarian reserve function；laparoscopic surge