[1]龚惠,倪云翔*.双极电凝在腹腔镜卵巢囊肿剔除术后止血中的应用效果及其对患者卵巢功能的影响[J].中国计划生育和妇产科杂志,2018,(4):35-39,44.
 GONG Hui,NI Yun-xiang*.Effect of bipolar coagulation on hemostasis after laparoscopic ovarian cyst exclusion and its effect on ovarian function[J].Chinese Journal of Family Planning & Gynecotokology,2018,(4):35-39,44.
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双极电凝在腹腔镜卵巢囊肿剔除术后止血中的应用效果及其对患者卵巢功能的影响
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《中国计划生育和妇产科》杂志[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年4期
页码:
35-39,44
栏目:
出版日期:
2018-04-25

文章信息/Info

Title:
Effect of bipolar coagulation on hemostasis after laparoscopic ovarian cyst exclusion and its effect on ovarian function
作者:
龚惠倪云翔*
上海交通大学医学院附属同仁医院妇产科
Author(s):
GONG HuiNI Yun-xiang*
Department of Obstetrics and Gynecology, Tongren Hospital Affiliated of Medicine College of Shanghai Jiaotong University School,Shanghai 200336,P.R.China
关键词:
双极电凝缝合止血方式腹腔镜卵巢囊肿剔除术卵巢功能
Keywords:
bipolar coagulationsuturing hemostasislaparoscopic ovarian cyst exclusionovarian function
分类号:
R 71175
摘要:
目的探讨腹腔镜卵巢囊肿剔除术后采用双极电凝止血与缝合止血的临床效果及对患者卵巢功能的影响。方法选取上海交通大学医学院附属同仁医院2010年1月至2016年11月收治的行腹腔镜下卵巢囊肿剔除术患者257例,根据术中止血方式不同分为电凝组(126例)和缝合组(131例)。电凝组采用双极电凝止血,缝合组采用缝合止血,术后随访6个月。观察两组患者手术指标,术后1、3、6个月卵巢功能、卵巢内基质血流情况及月经、排卵情况。结果手术时间、术中出血量和术后引流量电凝组为(429±115)min、(583±171)mL、(6944±1138)mL,缝合组为(535±116)min、(817±119)mL、(5763±1091)mL,两组比较差异有统计学意义(P<005)。术后1月两组患者雌二醇(estradiol,E2)、窦卵泡计数(antral follicle count,AFC)水平较术前下降,卵泡刺激素(follicle stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)水平较术前升高(P<005)。术后3月,电凝组E2、AFC水平低于缝合组,FSH、LH水平高于缝合组(P<005)。术后6月两组患者E2、AFC、FSH、LH水平与术前比较差异无统计学意义(P>005)。缝合组术后1、3、6月收缩期血流峰值流速(peak systolic velocity, PSV)、搏动指数(pulsating index ,PI)、阻力指数(resistance index,RI)、收缩期与舒张期血流速度比值(systolic and diastolic blood flow velocity ratio ,S/D)与术前比较差异无统计学意义(P>005);电凝组术后1、3月PSV、PI、RI、S/D值低于术前和缝合组(P<005)。随访6个月期间,电凝组出现9例排卵异常,14例月经过少,18例经期延长,发生率为3254 %;缝合组出现4例排卵异常,7例月经过少,10例经期延长,发生率为1603 %,两组比较差异有统计学意义(P<005)。结论在腹腔镜卵巢囊肿剔除术中,采用双极电凝和缝合止血短期内均会导致卵巢功能短暂衰退,但缝合止血较双极电凝止血恢复快,临床上要根据术中不同情况选取合适的止血方式。
Abstract:
ObjectiveTo investigate the clinical effect of bipolar coagulation on hemostasis after laparoscopic ovarian cyst exclusion and its effect on ovarian function. Methods257 patients underwent laparoscopic ovarian cyst exclusion in Tongren Hospital Affiliated

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更新日期/Last Update: 2018-04-25