摘要
目的:研究腹腔镜下卵巢囊肿剥除术中不同止血方式对患者卵巢功能和血流动力学的影响。方法:选取在本院接受腹腔镜手术治疗的90例卵巢巧克力囊肿患者纳入研究,根据术中止血方法不同分为两组,观察组接受缝合止血、对照组接受双极电凝止血。比较两组患者的卵巢功能、应激状况以及血流动力学情况。结果:观察组的卵泡刺激素(FSH)、黄体生成素(LH)水平低于对照组,雌二醇(E2)水平高于对照组,差异有统计学意义(P<0.05);观察组的促肾上腺皮质激素(ACTH)、皮质醇(Cor)、去甲肾上腺素(NE)水平均低于对照组,差异有统计学意义(P<0.05);观察组的心输出量(CO)、平均动脉压(MAP)、每搏量(SV)水平低于对照组,差异有统计学意义(P<0.05)。结论:缝合止血有助于改善术后卵巢功能、稳定术中血流动力学、缓解术中应激状况,是腹腔镜下卵巢囊肿剥除术中理想的止血方式。
Objective： To investigate effect of different hemostatic methods on ovarian function and hemodynamics of patients undergoing laparoscopic ovarian cyst divesting. Methods; A total of 90 patients with ovarian chocolate cyst were enrolled and divided into two groups. Observation group were treated with suture hemostasis and control group were treated with bipolar coagulation hemostasis. Then ovarian function, stress status and hemodynamics condition were compared. Results： （1） Ovarian function： FSH, LH levels of observation group were lower than those of control group, E2 level was higher than that of control group; （2） Stress status： ACTH, Cor, NE levels of observation group were lower than those of control group; （3） Hemodynamics： CO, MAP, SV levels of observation group were lower than those of control group. Conclusion： Suture hemostasis is helpful to improve postoperative ovarian function, stabilize intraoperative hemodynamics and relieve stress condition, it ＇s an ideal hemostatic method in laparoscopic ovarian cystdivesting.
出处
《海南医学院学报》
CAS
2014年第11期1560-1562,共3页
Journal of Hainan Medical University
基金
湖北省卫生厅基金项目(2012z-y28)~~
关键词
卵巢囊肿剥除术
缝合止血
电凝止血
血流动力学
卵巢功能
Ovarian cystectomy
Suture hermstasis
Bipolar coagulation hemostasis
Hern
ynamics
Ovarian function
