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目的比较腹腔镜卵巢囊肿剥除术运用不同止血方式对卵巢功能的影响。方法选择医院行腹腔镜卵巢囊肿剥除术的患者135例,随机平均分为常规缝合止血组(Ⅰ组),单级电凝止血组(Ⅱ组),双极电凝止血组(Ⅲ组)各45例,分别采用3种不同的止血方式,比较术后3组患者基础性激素量(包括血清卵泡刺激素,雌二醇,黄体生成素),窦卵泡数量以及月经情况。结果术后Ⅰ组雌二醇量明显高于其他2组,卵泡刺激素,黄体生成素量无明显升高,窦卵泡数量减少及月经异常例数明显低于其他2组,差异有统计学意义(P<0.05)。结论腹腔镜下卵巢囊肿剥除术应用常规缝合止血方法对患者卵巢功能损伤较小,相比其他止血方法表现出了较强的优越性,建议广泛使用。
Objective To compare the effects of different hemostatic methods on ovarian function in laparoscopic ovarian cyst excision. Methods A total of 135 patients with laparoscopic ovarian cyst excision were randomly divided into three groups: conventional suture hemostasis group (group Ⅰ), single-stage coagulation hemostasis group (group Ⅱ), bipolar coagulation hemostasis group (group Ⅲ) Each of 45 cases was given 3 different hemostatic methods. The basic hormones (including serum FSH, estradiol, LH), the number of antral follicles and the menstrual status were compared among the 3 groups. Results After operation, the estradiol level in group Ⅰ was significantly higher than that in the other two groups. There was no significant increase in the amount of follicle stimulating hormone and luteinizing hormone. The number of antral follicles and the number of abnormal menstruation were significantly lower than those in the other two groups (P <0.05). Conclusion Laparoscopic ovarian cyst stripping surgery using conventional suture hemostasis in patients with less damage to ovarian function, compared to other hemostatic methods showed strong superiority, it is recommended widely used.