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腹腔镜下卵巢囊肿剥除术电凝止血对卵巢功能的影响 被引量:22

Effect of electric coagulation in laparoscopic ovarian cystectomy on ovarian function.
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摘要 目的探讨腹腔镜下卵巢囊肿剥除术采取电凝止血对患者卵巢功能的影响。方法以我院2010年5月至2012年5月收治的110例良性卵巢囊肿患者为研究对象,根据手术方式不同分为观察组和对照组。观察组57例患者实施腹腔镜下卵巢囊肿剥除术,实施电凝止血;对照组53例患者采取传统开腹手术方式,实施缝合止血。对两组患者术前及术后1个月、术后3个月FSH、LH、E2激素水平及月经情况进行比较分析。结果两组患者在术前、术后1个月、术后3个月FSH、LH、E2比较差异均无统计学意义(P>0.05),术后6个月回访,观察组中53例患者月经恢复正常,对照组51例月经恢复正常,组间差异无统计学意义(P>0.05)。结论采用腹腔镜下卵巢囊肿剥除术,如科学掌控电凝时间及强度,在确保充分止血的基础上对患者卵巢功能不会造成影响。 Objective To investigate the effect of electric coagulation in laparoscopic ovarian cystectomy on the ovarian function of patients. Methods A total of 110 patients with benign ovarian cysts admitted to our hospital from May 2010 to May 2012 were selected as the research subjects, which were divided into the observation group and the control group according to the surgical approach. The observation group (n=57) applied laparoscopic ovarian cys- tectomy and electric coagulation, while the control group (n=53) used traditional open surgery and hemostasis. The FSH, LH, E2 hormone levels and menstrual status were compared and analyzed in the two groups before surgery, 1 month and 3 months after surgery. Results There was no statistically significant difference between the two groups in FSH, LH, E2 before surgery, 1 month and 3 months after surgery (P〉0.05). Six months after surgery, menstruation returned to nor- mal in 53 patients in the observation group and 51 patients in the control group, with no statistically significant differ- ence between the two groups. Conclusion The laparoscopic ovarian cystectomy, by scientifically controlling the coag- ulation time and strength, exerts no effect on the ovarian function of patients based on adequate hemostasis.
作者 王丽鹏
出处 《海南医学》 CAS 2013年第17期2525-2526,共2页 Hainan Medical Journal
关键词 卵巢囊肿剥除术 卵巢囊肿 电凝止血 激素 Ovarian cyst cystectomy Ovarian cysts Electric coagulation Hormone
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