摘要
目的:探讨腹腔镜下卵巢子宫内膜异位症(内异症)囊肿剥除术中不同止血方法对卵巢储备功能的影响。方法:将30例卵巢内异症囊肿初次手术的患者随机分为:术中创面止血采用采用电凝止血(A,15例),单纯缝合方法(B,15例)。于术前及术后6个月分别检测患者血清卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)水平、窦卵泡数,以判断卵巢储备功能。结果:两组术后6个月的FSH水平高于术前,两组术后6个月窦卵泡数水平低于术前,A组术后6个月E2水平高于术前和B组,B组术后6个月窦卵泡数高于A,两两比较差异均有统计学意义(P<0.05)。结论:腹腔镜下卵巢内异症囊肿剥除术后可能造成卵巢储备功能下降,对卵巢创面出血的处理,创面缝合止血能保护卵巢功能。
Objective： To compare the effect of difference haemostasis in laparoscopic operation for ovarian endometriosis.Methods： 30 cases of patients with ovarian endometriosis were divided into two groups,group A used electrocautery haemostasis and group B used suture haemostasis.The level of FSH,LH,E2,follicle were detection.Results： The level of FSH in postoperative was significantly higher than that in Pre-operative,but the number of follicle opposite.The level of E2 in postoperative of the group A was significantly higher than that in Pre-operative and group B,the number of follicle in postoperative of the group A was lower than that in group B.Conclusions： The laparoscopic operation for ovarian endometriosis may cause ovarian reserve function decline,ovarian wound bleeding processing,suture bleeding can protect ovarian function.
出处
《航空航天医学杂志》
2013年第7期791-792,共2页
Journal of Aerospace medicine
