腹腔镜下卵巢囊肿剥除术不同止血方式对卵巢储备功能影响.docVIP

腹腔镜下卵巢囊肿剥除术不同止血方式对卵巢储备功能影响 　　【摘要】 目的：探讨不同止血方式在腹腔镜下卵巢囊肿剥除术中对卵巢储备功能的影响。方法：选取2012年 　　3月-2015年3月本院行腹腔镜下卵巢囊肿剥除术的患者92例，随机均分为两组，每组46例。观察组采用镜下缝合止血，对照组采取双极电凝止血，比较治疗前后两组的性激素水平。结果：两组患者术前各项激素水平比较差异无统计学意义（P0.05），治疗后1个月观察组的血清雌激素、孕酮、FSH、LH浓度均有下降，但与术前比较差异无统计学意义（P0.05）；而对照组治疗后1个月血清雌激素、孕酮、FSH、LH浓度下降，与术前比较差异均有统计学意义（P0.05）。结论：腹腔镜下卵巢囊肿剥除术采取镜下缝合止血对卵巢功能的影响较小，治疗效果更佳。 　　【关键词】 腹腔镜下卵巢囊肿剥除； 止血方式； 卵巢储备功能； 激素水平 　　Effect of Different Hemostasis Methods on Ovarian Reserve Function in Laparoscopic Ovarian Cyst/LIU He-fang.//Medical Innovation of China，2015，12（36）：023-024 　　【Abstract】 Objective： To investigate the effect of different hemostasis methods on ovarian reserve function in laparoscopic ovarian cyst removal. Method： 92 patients with ovarian cyst were randomly divided into two groups， 46 cases in each group. The observation group was treated with a microscope， the control group was treated with bipolar coagulation， and the level of sex hormone in the two groups were compared before and after treatment. Result： There was no significant difference between the two groups about the level of sex hormon before treatment （P0.05）. The serum levels of estrogen， progesterone， FSH and LH in the observation group were decreased after 1 month of treatment， but the differences were not statistically significant （P0.05）， while the control group had statistical significance （P0.05）. Conclusion： Laparoscopic ovarian cyst removal surgery to take a mirror under the suture hemostasis of ovarian function， the effect is smaller， the treatment effect is better. 　　【Key words】 Laparoscopic ovarian cyst removal； Hemostasis； Ovarian reserve function； Hormone level 　　First-author’s address：The Maternal and Child Health Hospital of Changzhou City， Changzhou 213000，China 　　doi：10.3969/j.issn.1674-4985.2015.36.007 　　随着腹腔镜技术在妇科疾病治疗中的应用和推广，腹腔镜下卵巢囊肿剥除已经成为育龄期女性卵巢囊肿的主要治疗方法。但是有关该治疗方法所采用的超声刀和高频电刀对组织损害效应是目前治疗中较为棘手的问题[1]。仍然存在术中出血，因此很多学者对腹腔镜下卵巢囊肿剥除术采用的止血方法进行研究，以减少手术对卵巢功能损伤的影响[2]。腹腔镜下卵巢囊肿剥除术过程中采取何种止血方式可降低其对患者卵巢功能的影响，尚无统一结论