中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2015年
8期
88-91
,共4页
腹腔镜%卵巢子宫内膜异位囊肿%卵巢储备功能
腹腔鏡%卵巢子宮內膜異位囊腫%卵巢儲備功能
복강경%란소자궁내막이위낭종%란소저비공능
Laparoscopic%Ovary endometriomas%Ovarian reserve
目的：探讨腹腔镜卵巢子宫内膜异位囊肿剥除术中，不同止血方法对卵巢储备功能的影响。方法：选择84例单侧卵巢子宫内膜异位囊肿的非卵巢门位患者，按照术中不同止血方式将其分为观察组和对照组。观察组40例，采用缝合法止血；对照组44例，采用超声刀止血。并分别于术前、术后第1个月、第3个月进行血清促卵泡激素(FSH)、黄体生成素(LH)及抗苗勒管激素(AMH)水平测定，以及超声测量卵巢基础窦卵泡计数(AFC)、卵巢基底动脉血流收缩期峰值(PSV)。结果：两组患者术前与术后比较，FSH、LH、AMH水平及AFC、PSV均差异显著；术后第1个月观察组FSH、LH水平均低于对照组；术后第3个月观察组AMH高于对照组；术后第3个月观察组PSV大于对照组。结论：应用超声刀止血对卵巢储备功能损伤的近期效应高于缝合法，临床应谨慎使用电凝烧灼方式止血。
目的：探討腹腔鏡卵巢子宮內膜異位囊腫剝除術中，不同止血方法對卵巢儲備功能的影響。方法：選擇84例單側卵巢子宮內膜異位囊腫的非卵巢門位患者，按照術中不同止血方式將其分為觀察組和對照組。觀察組40例，採用縫閤法止血；對照組44例，採用超聲刀止血。併分彆于術前、術後第1箇月、第3箇月進行血清促卵泡激素(FSH)、黃體生成素(LH)及抗苗勒管激素(AMH)水平測定，以及超聲測量卵巢基礎竇卵泡計數(AFC)、卵巢基底動脈血流收縮期峰值(PSV)。結果：兩組患者術前與術後比較，FSH、LH、AMH水平及AFC、PSV均差異顯著；術後第1箇月觀察組FSH、LH水平均低于對照組；術後第3箇月觀察組AMH高于對照組；術後第3箇月觀察組PSV大于對照組。結論：應用超聲刀止血對卵巢儲備功能損傷的近期效應高于縫閤法，臨床應謹慎使用電凝燒灼方式止血。
목적：탐토복강경란소자궁내막이위낭종박제술중，불동지혈방법대란소저비공능적영향。방법：선택84례단측란소자궁내막이위낭종적비란소문위환자，안조술중불동지혈방식장기분위관찰조화대조조。관찰조40례，채용봉합법지혈；대조조44례，채용초성도지혈。병분별우술전、술후제1개월、제3개월진행혈청촉란포격소(FSH)、황체생성소(LH)급항묘륵관격소(AMH)수평측정，이급초성측량란소기출두란포계수(AFC)、란소기저동맥혈류수축기봉치(PSV)。결과：량조환자술전여술후비교，FSH、LH、AMH수평급AFC、PSV균차이현저；술후제1개월관찰조FSH、LH수평균저우대조조；술후제3개월관찰조AMH고우대조조；술후제3개월관찰조PSV대우대조조。결론：응용초성도지혈대란소저비공능손상적근기효응고우봉합법，림상응근신사용전응소작방식지혈。
Objective:To investigate the impact on ovarian reserve function with two different homostatic methods during laparoscopic cystectomy in treatment of endometrioma.Methods:Eighty four cases with unilateral ovarian cysts which located outside of hilum of ovary undergoing laparoscopic surgery were enrolled in the study. Based on hemostasis method, all patients were divided into 2 groups. Study group included 40 cases in ultrasonic scalpel hemostasis. Control group included 44 cases with suture after excision of endometrioma. Before surgery and the 1st, 3rd cycle after surgery, serum FSH, LH and AMH, and ultrasound basal AFC and PSV were examined and compared.Results: The level of FSH, LH, AMH, AFC and PSV had significant difference between before surgery and after surgery 1st, 3rd. The level of FSH, LH, AMH, AFC and PSV had significant difference within group comparisons after surgery 1st, 3rd. The level of serum FSH and LH in study group were lower than these in control group after surgery 1st. The level of serum AMH in study group were higher than in control group after surgery 3st. The level of serum PSV in study group were higher than in control group after surgery 3st.Conclusion: Ovarian reserve function was decresed heavier in ultrasonic scalpel hemostasis during laparoscopic excision of ovarian endometrioma than in suture. Electrocoagulation of the ovarian tissue should be avoided.
