CAJ | 학술논문

目的：探讨腹腔镜卵巢囊肿剥除术中单极电凝止血对卵巢功能的影响。方法入院的150例单侧卵巢囊肿患者按照抽签方法随机地均分为三组，即超声刀组50例、镜下缝合组50例及单极电凝组50例。比较三组术前、术后2个月及术后4个月月经改变情况、围绝经期综合征发生情况及激素（ E2、FSH）水平。结果（1）单极电凝组患者术后月经改变例数均显著大于超声刀组与镜下缝合组（P＜0．05）；（2）单极电凝组患者围绝经期综合征发生率均显著大于超声刀组与镜下缝合组（P＜0．05）；（3）单极电凝组患者术后与术前相比，出现E2水平降低与FSH升高，差异有统计学意义（ P＜0．05），且与超声刀组及镜下缝合组患者的E2、FSH水平相比，差异均有统计学意义（P＜0．05）。结论单极电凝止血会对卵巢功能造成一定的损害。
목적：탐토복강경란소낭종박제술중단겁전응지혈대란소공능적영향。방법입원적150례단측란소낭종환자안조추첨방법수궤지균분위삼조，즉초성도조50례、경하봉합조50례급단겁전응조50례。비교삼조술전、술후2개월급술후4개월월경개변정황、위절경기종합정발생정황급격소（ E2、FSH）수평。결과（1）단겁전응조환자술후월경개변례수균현저대우초성도조여경하봉합조（P＜0．05）；（2）단겁전응조환자위절경기종합정발생솔균현저대우초성도조여경하봉합조（P＜0．05）；（3）단겁전응조환자술후여술전상비，출현E2수평강저여FSH승고，차이유통계학의의（ P＜0．05），차여초성도조급경하봉합조환자적E2、FSH수평상비，차이균유통계학의의（P＜0．05）。결론단겁전응지혈회대란소공능조성일정적손해。
Objective To investigate the effects of monopolar coagulation on ovarian function during laparo -scopic ovarian cystectomy .Methods One hundred and fifty cases of patients with unilateral ovarian cysts who were admitted to our hospital from June 2009 to June 2012 were randomly divided into three groups according to balloting method,namely ultrasonic scalpel group(n=50),endoscopic suture group(n=50) and unipolar coagulation group(n=50).The menstrual changes,the occurrence of menopause syndrome and hormone (E2,FSH) levels before surgery, after 2 months'and 4 months'surgery were compared.Results (1)The menstrual changes after surgery and monopo-lar coagulation were higher than that in the scalpel group and endoscopic suture group (P<0.05);(2) The incidence of peri-menopausal syndrome in monopolar cautery group was higher than that in the ultrasonic scalpel group and en -doscopic suture group(P<0.05);(3) Serum decreased E2 and FSH increased postoperation in monopolar electro-coagulation group(P<0.05),which were statistically significant compared with other two groups (P<0.05).Con-clusion Monopolar coagulation can cause some damage on ovarian function .