腹腔镜卵巢囊肿剥除术中超声刀、缝合止血法对患者卵巢功能、血流动力学及并发症的影响

摘要

Objective To investigate the effect of ultrasonic scalpel and suture hemostasis on ovarian function,hemodynamics and complications in patients with laparoscopic ovarian cystectomy.Methods A total of 98 patients with unilateral ovarian benign tumor by treatment of laparoscopic ovarian cystectomy were selected and divided into ultrasound group (n =40) and suture hemostasis group (n =58) according to the different methods of hemostasis.All patients were followed up for 6 months.The changes of ovarian function,hemodynamic changes and complications were observed in both groups.Results Patients in both groups successfully completed surgery.There were no significant differences in serum follicle stimulating hormone (FSH),luteinizing hormone (LH) and estradiol (E2) before surgery and 6 months after treatment between two groups (P ＞ 0.05).In the ultrasonic scalpel group,the cardiac output (CO),stroke volume (SV) and mean arterial pressure (MAP) were significantly higher than those before operation and suture hemostasis group (P ＜ 0.05).There was no significant difference of incidence rate of complications in both groups (P ＞ 0.05).Conclusion Both ultrasonic scalpel and suture hemostasis can effectively protect ovarian function in patients with laparoscopic ovarian cystectomy.%目的 探讨腹腔镜卵巢囊肿剥除术中超声刀、缝合止血法对患者卵巢功能、血流动力及并发症的影响.方法 收集本院接受腹腔镜卵巢囊肿剥除术治疗的98例单侧卵巢良性肿瘤患者,根据术中止血方法不同将其分为超声刀组40例和缝合止血法58例.术后均随访6个月,观察2组患者卵巢功能、血流动力变化及手术相关并发症发生情况.结果 2组均成功完成手术.2组血清卵泡刺激素(FSH)、黄体生成素(LH)和雌二醇(E2)术前、术后6个月比较差异均无统计学意义(P＞0.05);超声刀组术后心输出量(CO)、每搏量(SV)和平均动脉压(MAP)分别较术前、缝合止血组显著升高(P＜0.05);2组术后并发症差异无统计学意义(P＞0.05).结论 腹腔镜卵巢囊肿剥除术中采用超声刀、缝合止血法均可有效保患者护卵巢功能.