CAJ | 학술논문

目的:探讨3种不同的止血方式对腹腔镜下卵巢囊肿剥除术后卵巢功能恢复的影响.方法:将69例行腹腔镜下卵巢囊肿剥除术的单侧卵巢囊肿患者分为三组,其中A 组采用单纯电凝止血,B组采用单纯羊肠线缝合止血,C组采用简单电凝止血后再羊肠线缝合.结果:术前各组患者3种激素水平及窦状卵泡 F0数比较,差异无统计学意义(P>0.05).术后3个月FSH值和LH值A组>B组>C组,比较差异有统计学意义(P<0.05);E2值和窦状卵泡F0数C组>B组>A组,等级差异有统计学意义(P<0.05).C组的月经异常比例明显低于A组和B组(P<0.05),且A组和B组比较,差异无统计学意义(P>0.05).结论:在实施腹腔镜下卵巢囊肿剥除术时,可采取先简单电凝止血后再羊肠线缝合的止血方式进行止血,能最大程度保护卵巢功能.
목적:탐토3충불동적지혈방식대복강경하란소낭종박제술후란소공능회복적영향.방법:장69례행복강경하란소낭종박제술적단측란소낭종환자분위삼조,기중A 조채용단순전응지혈,B조채용단순양장선봉합지혈,C조채용간단전응지혈후재양장선봉합.결과:술전각조환자3충격소수평급두상란포 F0수비교,차이무통계학의의(P>0.05).술후3개월FSH치화LH치A조>B조>C조,비교차이유통계학의의(P<0.05);E2치화두상란포F0수C조>B조>A조,등급차이유통계학의의(P<0.05).C조적월경이상비례명현저우A조화B조(P<0.05),차A조화B조비교,차이무통계학의의(P>0.05).결론:재실시복강경하란소낭종박제술시,가채취선간단전응지혈후재양장선봉합적지혈방식진행지혈,능최대정도보호란소공능.
Objective:To investigate the influence of different hemostasis on ovarian function post oophorocystectomy under laparoscopy. Method:The 69 cases with oophorocystectomy under laparoscopy were divided into electric coagulation group(23 cases),suture group(23 cases)and suture after electric coagulation group(23 cases). Result:There were no significant difference on the levels of sex hormones and basal antral follicle number(Fo)in the three group pre operation(P>0.05). There were significant difference among three levels groups at 3 months postoperative period, decreasing in E2 and basal antral follicle number(Fo),increasing in FSH and LH(P<0.05)were detected. The menstrual abnormalities in suture after electric coagulation group were significantly lower than those in electric coagulation group and suture group(P<0.05),the difference between electric coagulation group and suture group was not statistically significant(P>0.05).Conclusion:The suture after electric coagulation should be used to stop bleeding in the oophorocystectomy under laparoscopy and protect ovarian function to the greatest extent.