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目的探讨腹腔镜下卵巢囊肿剥离术不同止血方法对卵巢功能的影响。方法随机将60名行腹腔镜下卵巢囊肿剥离术的患者平均分为观察组和对照组,观察组30例采用传统的镜下缝合止血法,对照组30例采用双板电凝止血法。观察两组患者手术前和手术1个月以及6个月后促黄体生成素(LH)、卵泡刺激素(FSH)、雌二醇(E2)的指标变化。结果观察组的LH、FSH在术后1个月和6个月时均比对照组低,而E2观察组比对照组高,差异有统计学意义(P<0.05)。结论腹腔镜下卵巢囊肿剥离术采用镜下缝合止血法对卵巢的功能影响更小。
Objective To investigate the effect of laparoscopic ovarian cyst debridement on the ovarian function by different methods of hemostasis. Methods Sixty patients undergoing laparoscopic ovarian cyst dissection were randomly divided into observation group and control group. Thirty patients in the observation group were treated by conventional microsurgical stitching and hemostasis, while 30 patients in the control group were treated by double plate electrocoagulation. The indexes of luteinizing hormone (LH), follicle stimulating hormone (FSH) and estradiol (E2) were observed before surgery and one month and six months after surgery. Results The LH and FSH in the observation group were lower than those in the control group at 1 month and 6 months after operation, while those in the E2 observation group were significantly higher than those in the control group (P <0.05). Conclusions Laparoscopic ovarian cyst dissection using microsurgical stitching hemostasis has less effect on ovarian function.