腹腔镜下不同方法处理残留卵巢对卵巢功能影响.docVIP

腹腔镜下不同方法处理残留卵巢对卵巢功能影响 　　[摘要]目的 探讨腹腔镜下不同方法处理残留卵巢对卵巢功能的影响。方法 回顾性分析2014年1月～2015年1月在我院行腹腔镜下卵巢囊肿剥除术的84例患者，根据术中不同的处理方法将其分为电凝组、缝合组，比较两组患者手术前后雌二醇（E2）、促卵泡激素（FSH）、黄体生成素（LH）的变化情况及月经异常率。结果 84例患者均顺利完成手术，两组患者术后血清E2水平均降低，FSH、LH水平增高，组内比较差异有统计学意义（P0.05），以缝合组改善趋势更为明显（P0.05）；在术后6个月的随访中发现，电凝组出现月经异常例数12例，异常率为28.57%，而缝合组仅2例出现月经异常，异常率为4.76%，两组月经异常率差异有统计学意义（P0.05）。结论 腹腔镜下采用不同方法处理残留卵巢，对患者卵巢功能的影响也有所不同，为了在术后尽可能的恢复卵巢功能至正常水平，建议首选缝合止血方法，其能够有效改善卵巢功能，降低月经异常率，值得临床推广。 　　[关键词]腹腔镜；残留卵巢；缝合；电凝；功能 　　[中图分类号] R588.6 [文献标识码] A [文章编号] 1674-4721（2016）10（b）-0094-03 　　[Abstract]Objective To study the effect of different prcoessing methods in the ovarian function after the laparoscopic ovarian cystectomy.Methods 84 patients of adopting the laparoscopic ovarian cystectomy from January 2014 to January 2015 in our hospital were selected and retrospectively analyzed.The subjects were divided into electrocoagulation group and suturing group according to the different treatment methods.The index of E2，FSH，LH and abnormal rate of menstruation of two groups were observed.Results 84 patients were successfully completed surgery，postoperative serum E2 levels of two groups patients were decreased，FSH， LH levels increased，the difference was statistically significant （P0.05）；after 6 months of follow-up visit，the incidence rate of irregular menstruation for electrocoagulation group （28.57%，12 cases） was higher than that of suturing group （4.76%，2 cases），the difference was statistically significant（P0.05）.Conclusion After the laparoscopic ovarian cystectomy，the different prcoessing methods have the different effects in the patients′ ovarian function.In order to recover the patients′ ovarian function，the suturing method shall be firstly recommended to improve the ovarian function and reduce the incidence rate of irregular menstruation.It is worthy of clinical promotion. 　　[Key words]Laparoscopic；Residual ovary；Suture；Electrocoagulation；Function 　　随着科技水平的迅猛发展，医疗技术的发展也是令人瞩目的，各种先进的医疗器械在医疗活动中扮演着越来越重要的角色。近年来，微创技术应用范围越来越广，腹腔镜作为