卵巢囊肿术后双极电凝止血及手术缝合止血对患者卵巢功能影响的分析
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摘要
目的探讨卵巢囊肿术后双极电凝止血与手术缝合止血对患者卵巢功能的影响。方法将2016年8月1日-2017年7月31日期间接受卵巢囊肿剔除术的73例患者进行分组研究;以患者自愿原则为基础满足分组研究要求的情况下将73例患者分为电凝组(n=35)和缝合组(n=38),电凝组采用双极电凝止血,缝合组采用缝合止血;比较两组术后6月的卵巢功能。结果电凝组术后6月雌二醇(E2)为(257.6±43.7)pmol/L,促卵泡激素(FSH)为(9.03±2.43)U/L,促黄体生成素(LH)为(14.79±3.38)U/L;缝合组三项指标分别为(330.5±41.7)pmol/L、(7.00±2.09)U/L、(11.86±3.06)U/L,各指标组间比较均有统计学意义(t=7.292,P=0.000)、(t=3.835,P=0.000)、(t=3.887,P=0.000)。结论卵巢囊肿术后手术缝合止血对患者卵巢功能的近期影响小于双极电凝止血,但目前尚无科学的研究认定患者卵巢功能的下降属永久性结果。
Objective To investigate the effect of electrocoagulation and surgical suture for hemostasis after operation on ovarian function in patients with ovarian cysts. Methods 73 patients undergoing ovarian cysts culling from August 2016 to July 2017 were divided into groups for studying, and another 73 patients were divided into electrocoagulation group(n=35)and suture group(n=38)on the basis of voluntary principle.The patients in the electrocoagulation group(n=35)were treated with bipolar electrocoagulation for hemostasis while patients in the suture group were treated with surgical suture for hemostasis.The ovarian function of the two groups six months after the operation was compared. Results The statistics showed that in the electrocoagulation group, the estradiol(E2)was(257.6±43.7)pmol/L,the follicle stimulating hormone(FSH)was(9.03±2.43)U/L and the luteinizing hormone(LH)was(14.79±3.38)U/L after operation.The three indexes of suture group were respectively(330.5±41.7) pmol/L,(7.00±2.09)U/L and(11.86±3.06)U/L.There were statistical significances in the indexes between the two groups(t=7.292,P=0.000),(t=3.835,P=0.000),(t=3.887,P=0.000).Conclusions The short-term effect of surgical suture for hemostasis on ovarian function after ovarian cyst surgery was less than that of bipolar electrocoagulation, but there was no scientific study that the decline of ovarian function was a permanent result.
Objective To investigate the effect of electrocoagulation and surgical suture for hemostasis after operation on ovarian function in patients with ovarian cysts. Methods 73 patients undergoing ovarian cysts culling from August 2016 to July 2017 were divided into groups for studying, and another 73 patients were divided into electrocoagulation group(n=35)and suture group(n=38)on the basis of voluntary principle.The patients in the electrocoagulation group(n=35)were treated with bipolar electrocoagulation for hemostasis while patients in the suture group were treated with surgical suture for hemostasis.The ovarian function of the two groups six months after the operation was compared. Results The statistics showed that in the electrocoagulation group, the estradiol(E2)was(257.6±43.7)pmol/L,the follicle stimulating hormone(FSH)was(9.03±2.43)U/L and the luteinizing hormone(LH)was(14.79±3.38)U/L after operation.The three indexes of suture group were respectively(330.5±41.7) pmol/L,(7.00±2.09)U/L and(11.86±3.06)U/L.There were statistical significances in the indexes between the two groups(t=7.292,P=0.000),(t=3.835,P=0.000),(t=3.887,P=0.000).Conclusions The short-term effect of surgical suture for hemostasis on ovarian function after ovarian cyst surgery was less than that of bipolar electrocoagulation, but there was no scientific study that the decline of ovarian function was a permanent result.
引文
[1]郎月华,楼彩虹,李云,等.腹腔镜下卵巢子宫内膜异位囊肿剔除术中3种止血方式对术后卵巢功能的影响[J].中华全科医学,2017,15(12):2089-2092.
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[9]杜丹.不同止血方法对腹腔镜卵巢囊肿术后卵巢功能的影响[J].临床合理用药杂志,2013,6(22):119-120.
[10]Takashima A,Takeshita N,Otaka K,et al.Effects of bipolar electro coagulation versus suture after laparoscopic excision of ovarian endom etrioma on the ovarian reserve and outcome of in vitro fertilization[J].J Obstet Gynaecol Res,2013,39(7):1246-1252.
[11]李长忠,韦德英,王飞,等.腹腔镜卵巢内异症囊肿剥除术中不同止血方法对卵巢储备功能的影响[J].中华妇产科杂志,2013,48(1):11-15.
[12]温方圆.腹腔镜下卵巢子宫内膜异位症囊肿剥除术前使用亮丙瑞林治疗对卵巢储备功能的保护效果研究[J].中国妇幼保健,2016,31(08):1752-1754.
[13]姜勇杰,谢岚,李娅.腹腔镜卵巢囊肿剥除术中不同止血方式对残留卵巢功能影响的研究[J].实用妇科内分泌杂志(电子版),2016,3(19):121-123+125.
[14]林宏,黎婧琳,袁丽萍.缝合止血在卵巢囊肿手术中应用对患者免疫系统及卵巢功能的影响研究[J].中国医学创新,2017,14(19):34-37.
[15]李丽丽.研究腹腔镜卵巢囊肿剥除术中应用双极电凝与缝合止血对卵巢功能影响[J].世界最新医学信息文摘,2018(28),151+156.
[2]李夏萌,邓霭辉,陈衍青,等.AMH应用于卵巢囊肿术后对卵巢储备影响的评估价值探讨[J].中国医药科学,2018,8(02):84-86.
[3]石爽.腹腔镜卵巢囊肿剥除术两种不同止血方法对卵巢功能的影响的临床观察[J].临床医药文献电子杂志,2014,1(10):1723-1724.
[4]罗红艳,洪美铖,凌华萍.腹腔镜卵巢囊肿剔除术中应用不同止血方法对卵巢功能的影响[J].中国微创外科杂志,2015,15(04):309-311.
[5]李芳,甘晓卫,曹云桂,等.腹腔镜卵巢子宫内膜异位囊肿剥除联合CO_2激光消融术对卵巢储备功能的影响[J].中国微创外科杂志,2015,15(06):518-521.
[6]李婧,吕娟,王宇娟,等.腹腔镜下卵巢子宫内膜异位症囊肿剥除术不同止血方法对卵巢储备功能影响的系统评价[J].中国循证医学杂志,2015,15(07):833-839.
[7]林忠,郭潇,王晨晓,等.腹腔镜下卵巢囊肿切除术中电凝和缝合止血对卵巢储备功能影响的Meta分析[J].中国妇产科临床杂志,2015,16(04):337-342.
[8]肖超,肖雪,鄂琪敏,等.腹腔镜下卵巢囊肿剥除术中电凝止血与缝合止血对卵巢储备功能影响的Meta分析[J].实用妇产科杂志,2015,31(08):618-622.
[9]杜丹.不同止血方法对腹腔镜卵巢囊肿术后卵巢功能的影响[J].临床合理用药杂志,2013,6(22):119-120.
[10]Takashima A,Takeshita N,Otaka K,et al.Effects of bipolar electro coagulation versus suture after laparoscopic excision of ovarian endom etrioma on the ovarian reserve and outcome of in vitro fertilization[J].J Obstet Gynaecol Res,2013,39(7):1246-1252.
[11]李长忠,韦德英,王飞,等.腹腔镜卵巢内异症囊肿剥除术中不同止血方法对卵巢储备功能的影响[J].中华妇产科杂志,2013,48(1):11-15.
[12]温方圆.腹腔镜下卵巢子宫内膜异位症囊肿剥除术前使用亮丙瑞林治疗对卵巢储备功能的保护效果研究[J].中国妇幼保健,2016,31(08):1752-1754.
[13]姜勇杰,谢岚,李娅.腹腔镜卵巢囊肿剥除术中不同止血方式对残留卵巢功能影响的研究[J].实用妇科内分泌杂志(电子版),2016,3(19):121-123+125.
[14]林宏,黎婧琳,袁丽萍.缝合止血在卵巢囊肿手术中应用对患者免疫系统及卵巢功能的影响研究[J].中国医学创新,2017,14(19):34-37.
[15]李丽丽.研究腹腔镜卵巢囊肿剥除术中应用双极电凝与缝合止血对卵巢功能影响[J].世界最新医学信息文摘,2018(28),151+156.