摘要
目的:探讨腹腔镜不孕症手术中使用单、双极电凝对卵巢功能的影响。方法:选择100例因输卵管因素导致的不孕症患者,均行腹腔镜下输卵管的修复整形手术,使用不同的止血方法随机分为单极电凝组50例、双极电凝组50例。分别于术前、术后1、3个月抽血检测促卵泡激素(FSH)、黄体生成素(LH)、雌二醇(E2),月经第11天开始B超监测排卵情况,术后随访1年。结果:两组病例术后1、3个月较术前均出现不同程度的FSH、LH增高和E2下降,单极电凝组与术前比较差异有统计学意义(P<0.05),双极电凝组与术前比较差异无统计学意义(P>0.05)。结论:腹腔镜下不孕症手术中使用单、双极电凝止血会引起对卵巢功能的损害,而使用单极电凝止血对卵巢功能的损害较使用双极电凝止血大。单极电凝组术后发生月经改变明显多于双极电凝组(P<0.05)。双极电凝组术后妊娠率较单极电凝组高。
Objective：To explore the effects of monopolar electrocoagulation and bipolar electrocoagulation in laparoscopy for infertility on ovarian function. Methods：100 infertile patients because of tubal factor were selected,and all the patients received fallopian tube surgery under laparoscope,then they were divided into monopolar electrocoagulation group（50 women） and bipolar electrocoagulation group（50 women） according to different hemostatic methods.Their blood samples were obtained to detect the levels of follicle-stimulating hormone（FSH）,luteinizing hormone（LH） and estradiol before surgery,at one and three months after surgery,B ultrasound was used to monitor the ovulation situation from the eleventh day of menstrual cycle,all the patients were followed up for one year after surgery. Results：Compared with before surgery,the levels of FSH and LH at one and three months after surgery increased,the level of estradiol decreased,there was significant difference in monopolar electrocoagulation group（P〈0.05）,but there was no significant difference in bipolar electrocoagulation group（P〈0.05）. Conclusion：Monopolar electrocoagulation and bipolar electrocoagulation harm ovarian function in laparoscopy for infertility,and the injury from monopolar electrocoagulation is larger than that from bipolar electrocoagulation.The menstrual changes after surgery in monopolar electrocoagulation group are more than those in bipolar electrocoagulation group（P〈0.05）.The pregnancy rate after surgery in bipolar electrocoagulation group is higher than that in monopolar electrocoagulation group.
出处
《中国妇幼保健》
CAS
北大核心
2011年第35期5563-5565,共3页
Maternal and Child Health Care of China
关键词
不孕症
腹腔镜
单极电凝
双极电凝
卵巢功能
Infertility
Laparoscope
Monopolar electrocoagulation
Bipolar electrocoagulation
Ovarian function
