广州医科大学学报

目的:观察腹腔镜卵巢肿瘤剔除术不同止血方式的临床效果。方法:纳入2013年12月至2017年12月中山市黄圃人民医院收治的152例行腹腔镜卵巢肿瘤剔除术的患者作为研究对象,按随机数字表法分为缝合组(缝合止血)和电凝组(电凝止血),每组各76例。观察两组患者手术情况、并发症情况、月经和排卵情况及卵巢激素水平情况。结果:两组手术时间、出血量比较,差异均无统计学意义(P>0.05)。缝合组、电凝组并发症发生率均为1.32%,两组比较,差异均无统计学意义(P>0.05)。缝合组排卵异常、经期延长及经量过少情况均低于电凝组(P<0.05)。治疗后,缝合组FSH、LH及E2水平均优于电凝组(P<0.05)。结论:腹腔镜卵巢肿瘤剔除术术中缝合止血对患者卵巢性激素水平影响较小,更大程度保护卵巢功能,值得临床应用及推广。

Objective:To investigate the clinical effects of different hemostasis methods for laparoscopic ovarian cystectomy.Methods:A total of 152 patients who underwent laparoscopic ovarian cystectomy in the Huangpu People's Hospital of Zhongshan City between December 2013 and December 2017 were included as the subjects in the study.All patients were randomly divided into the suture group(suture hemostasis) and electrocoagulation group(electrocoagulation hemostasis)(n=76 each).The operation,complications,menstruation,ovulation and ovarian hormone levels were determined in the two groups.Results:There were statistically significant differences in the operation time and blood loss between the two groups(P>0.05).The incidence of complications in the suture group and the electrocoagulation group was both 1.32%,without statistically significant difference(P>0.05).The complication rates of abnormal ovulation,prolonged menstruation,and hypomenorrhea in the suture group were lower than those in the electrocoagulation group(P<0.05).After the treatment,the FSH,LH and E2 levels in the suture group were better than those in the electrocoagulation group(P<0.05).Conclusion:Suture hemostasis in laparoscopic ovarian cystectomy shows fewer disturbance on ovarian hormone levels and more protection for ovarian function,which justifies widespread use in the clinical settings.