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目的:观察不同止血方式对腹腔镜卵巢囊肿剔除术卵巢功能的影响。方法:将60例腹腔镜下卵巢囊肿剥除术患者随机分为治疗组和对照组各30例,治疗组术后行缝合止血处理,对照组术后行电凝止血处理,比较2组对卵巢功能的影响。结果:术后6个月,治疗组的促黄体生成激素(LH)、卵泡刺激素(FSH)、雌二醇(E2)变化幅度显著小于对照组;术后随访1年,治疗组发生月经量少、头发稀少、周期延长的例数显著低于对照组,2组比较,差异均具有统计学意义(P<0.05)。结论:腹腔镜下卵巢囊肿剥除术镜下缝合止血不加重对患者的卵巢功能的影响,改善了患者生存质量,值得临床推广应用。
Objective: To observe the effect of different hemostatic methods on ovarian function of laparoscopic ovarian cyst excision. Methods: 60 cases of laparoscopic ovarian cyst stripping surgery were randomly divided into treatment group and control group of 30 cases, the treatment group after suture hemostasis, the control group after operation of coagulation hemostasis, the two groups of ovarian Effect of function. Results: At 6 months after operation, the changes of luteinizing hormone (LH), follicle stimulating hormone (FSH) and estradiol (E2) in the treatment group were significantly less than those in the control group. The patients were followed up for 1 year, Few, few hair, the number of cycles extended significantly lower than the control group, the two groups, the difference was statistically significant (P <0.05). Conclusions: Laparoscopic ovarian cyst excision of the suture hemostasis does not aggravate the patient’s ovarian function, improve the quality of life of patients, deserved clinical application.