腹腔镜下卵巢子宫内膜异位囊肿剥除术中缝合止血效果及对卵巢功能影响

目的:分析缝合止血对腹腔镜下卵巢子宫内膜异位囊肿剥除术的止血效果及对性激素和卵泡影响。方法:回顾性收集2015年12月-2018年9月本院收治的行腹腔镜下卵巢子宫内膜异位囊肿剥除术患者150例临床资料,分别采用双极电凝止血(电凝组)或缝合止血(缝合组),分析两组止血疗效。结果:两组手术时间、术中出血量、肛门排气时间,以及术前性激素水平和阴道超声检查结果比较均无差异(P>0.05)。缝合组术后雌二醇(123.42±16.66 pg/ml)、抗苗勒管激素(3.24±1.13 ng/ml)和窦状卵泡数目(7.9±2.1个)均高于电凝组,卵泡刺激素水平(6.35±3.01 U/L)低于电凝组(P<0.05)。两组月经改变率(13.3%、21.3%)无差异(P>0.05)。结论:缝合止血应用于腹腔镜子宫内膜异位症卵巢囊肿剥除术可减少对术后卵巢储备功能的影响,降低月经改变率。

The effect of suture hemostasis in laparoscopic excision of ovarian endometriosis cysts and its influence on the ovarian function

Objective:To analyze the effect of suture hemostasis in laparoscopic excision of ovarian endometriosis cysts,and to study its influence on sex hormones and follicle of patients after operation.Methods:Clinical data of 150 patients who underwent laparoscopic excision of ovarian endometriosis cysts from December 2015 to September 2018 were retrospectively collected,which included patients were given hemostasis by bipolar electrocoagulation in operation(in group A)and patients were given suture hemostasis(in group B).The hemostasis efficacy of the two groups was analyzed.Results:There were no difference in operation time,intraoperative blood loss,anal exhaust time,preoperative sex hormone levels,and vaginal ultrasound result between the two groups(P>0.05).The number of estradiol,anti-malulin hormone level,and number of sinus follicles of patients in group B were 123.42±16.66pg/ml,3.24±1.13 ng/ml,7.9±2.1,respectively,which were significant higher than those of the patients in group A,but the level of follicle stimulating hormone of patients in group B was 6.35±3.01 U/L,which was significant lower than that of patients in group A(P<0.05).There was no significant difference in menstrual change rate(13.3%vs.21.3%)between the two groups(P>0.05).Conclusion:The application of suture hemostasis in laparoscopic excision of ovarian endometriosis cyst can reduce the adverse influence on postoperative ovarian reserve function and can reduce the rate of menstrual change.