探讨腹腔镜卵巢瘤剥除术中三种止血方式对卵巢功能的影响观察.docVIP

精品论文 参考文献 探讨腹腔镜卵巢瘤剥除术中三种止血方式对卵巢功能的影响观察 巴彦县妇幼保健计划生育服务中心门诊部 151800 【摘 要】目的 研究分析腹腔镜卵巢瘤剥除术中使用双极电凝、双极电凝+生理盐水冲洗、镜下缝合止血对卵巢功能的影响。方法 此次研究的对象是选择94例单侧卵巢良性肿瘤患者，将其临床资料进行回顾性分析，并均行腹腔镜卵巢肿瘤剥除术，按不同的止血方法，将其分为三组：双极电凝组 24例、双极电凝+生理盐水冲洗组 36例、镜下缝合组 34例。分别于术后 3个月比较患者卵泡刺激素（FSH）、窦卵泡计数（AFC）、卵巢体积、卵巢基质血流（PSV）的变化情况。结果 术后三组都出现了不同程度的窦卵泡计数、卵巢体积、卵巢基质血流速度下降和 FSH增高。但双极电凝+生理盐水冲洗组和镜下缝合组各项指标比较差异无统计学意义（Pgt;0.05）。双极电凝组卵巢储备功能下降明显，与双极电凝+生理盐水冲洗组和镜下缝合组比较差异有统计学意义（Plt;0.05）。结论 腹腔镜下卵巢肿瘤剥除创面采用双极电凝+生理盐水冲洗止血和镜下缝合止血对残留卵巢功能影响小，双极电凝+生理盐水冲洗止血简便易行，是值得提倡的止血方式。 【关键词】卵巢瘤；腹腔镜；双极电凝；卵巢功能 [Abstract] Objective To study the effect of bipolar coagulation，bipolar coagulation，and physiological saline irrigation on ovarian function in patients with laparoscopic ovarian tumor resection. Methods the study object is the choice of 94 patients with unilateral ovarian benign tumor patients，their clinical data were retrospective analysis，and underwent laparoscopic ovarian tumor enucleation，according to the different hemostatic methods，divided into three groups：bipolar electrocoagulation group（24 cases），bipolar coagulation + physiological saline flushing group（36 cases），endoscopic suture group（34 cases）. The changes of follicle stimulating hormone（FSH），sinus follicle count（AFC），ovarian volume and ovarian stromal blood flow（PSV）were compared at 3 months after surgery，respectively. Results after operation，the three groups had different degrees of sinus and egg counts，ovarian volume，ovarian stromal blood flow velocity and FSH. But there was no significant difference in the indexes of the bipolar coagulation + physiological saline irrigation group and the mirror suture group（Pgt;0.05）. The ovarian reserve function of bipolar coagulation group was significantly decreased，and there was significant difference between the two groups（Plt;0.05）. Conclusion laparoscopic ovarian tumor stripping wounds were treated with bipolar coagulation + normal saline flush of hemostasis and endoscopic hemostasis of residual small influence on ovarian function，bip