探讨腹腔镜卵巢瘤剥除术中三种止血方式对卵巢功能的影响观察

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1、探讨腹腔镜卵巢瘤剥除术中三种止血方式对卵巢功能的影响观察巴彦县妇幼保健计划生育服务屮心门诊部151800【摘要】目的研究分析腹腔镜卵巢瘤剥除术中使用双极电凝、双极电凝+生理盐水冲洗、镜下缝合止血对卵巢功能的影响。方法此次研究的对彖是选择94例单侧卵巢良性肿瘤患者，将其临床资料进行回顾性分析，并均行腹腔镜卵巢肿瘤剥除术，按不同的止血方法，将其分为三组：双极电凝组24例、双极电凝+生理盐水冲洗组36例、镜下缝合组34例。分别于术后3个月比较患者卵泡刺激素(FSH)、窦卵泡计数(AFC)、卵巢体积、卵巢基质血流(PSV)的变化情况。结果术后三组都出现了不同程度的

2、窦卵泡计数、卵巢体积、卵巢基质血流速度下降和FSH增高。但双极电凝+生理盐水冲洗组和镜下缝合组各项指标比较差异无统计学意义(P>；0.05)o双极电凝组卵巢储备功能下降明显，与双极电凝+生理盐水冲洗组和镜下缝合组比较差异有统计学意义(P<0.05)o结论腹腔镜下卵巢肿瘤剥除创面采用双极电凝+生理盐水冲洗止血和镜下缝合止血对残留卵巢功能影响小，双极电凝+生理盐水冲洗止血简便易行，是值得提倡的止血方式。【关键词】卵巢瘤；腹腔镜；双极电凝；卵巢功能[Abstract]ObjectiveTostudytheeffectofbipolarcoagulati

3、on,bipolarcoagulation,andphysiologicalsalineirrigationonovarianfunctioninpatientswithlaparoscopicovariantumorresection.Methodsthestudyobjectisthechoiceof94patientswithunilateralovarianbenigntumorpatients，theirclinicaldatawereretrospectiveanalysis,andunderwentlaparoscopicovariantum

4、orenucleation,accordingtothedifferenthemostaticmethods,dividedintothreegroups：bipolarelectrocoagulationgroup(24cases),bipolarcoagulation+physiologicalsalineflushinggroup(36cases),endoscopicsuturegroup(34cases).Thechangesoffolliclestimulatinghormone(FSH),sinusfolliclecount(AFC),ova

5、rianvolumeandovarianstromalbloodflow(PSV)werecomparedat3monthsaftersurgery,respectively.Resultsafteroperation,thethreegroupshaddifferentdegreesofsinusandeggcounts，ovarianvolume,ovarianstromalbloodflowvelocityandFSH.Buttherewasnosignificantdifferenceintheindexesofthebipolarcoagulat

6、ion+physiologicalsalineirrigationgroupandthemirrorsuturegroup(P>0.05).Theovarianreservefunctionofbipolarcoagulationgroupwassignificantlydecreased,andtherewassignificantdifferencebetweenthetwogroups(P<0.05).Conclusionlaparoscopicovariantumorstrippingwoundsweretreatedwithbipol

7、arcoagulation+normalsalineflushofhemostasisandendoscopichemostasisofresidualsmallinflueneeonovarianfunction,bipolarcoagulation+physiologicalsalineflushinghemostasisissimple,isworthpromotinghemostasis.[Keywords]ovariantumor；Laparoscopy；bipolarcoagulation；ovarianfunction卵巢是女性重要的内分泌器

8、官，在性激素代谢和内分泌中起重要作用。卵巢良性肿瘤为妇科常见病及多