腹腔镜下卵巢囊肿剔除术中两种止血方式对卵巢储备功能的影响

目的：探讨缝合和电凝两种止血方式对腹腔镜下卵巢囊肿剔除术中卵巢储备功能的影响。方法：选取本院2012年10月-2013年10月收治的150例确诊为单侧卵巢囊肿的患者，按照随机数字表法将其分为缝合组和电凝组各75例，行腹腔镜下卵巢囊肿剔除术中分别采用缝合和电凝两种止血方式，测定术前及术后3个月两组患者的FSH、LH、E2水平和采用阴道超声仪探测窦状卵泡数。结果：两组患者术前三种激素水平及窦状卵泡数比较差异无统计学意义（P〉0.05）。术后3个月缝合组的FSH和LH水平均明显高于术前及电凝组；而电凝组的E2水平明显高于术前和缝合组；电凝组的窦状卵泡数与术前相当，但明显高于缝合组，比较差异均有统计学意义（P〈0.05）。结论：镜下缝合止血方式是腹腔镜下卵巢囊肿剔除术的首选，能较大程度地保护卵巢储备功能。

Influence of Two Hemostasis on Ovarian Reservation Function in Oophorocystectomy under Laparoscopy

Objective：To investigate the influence of electric coagulation and suture hemostasis on ovarian reservation function in oophorocystectomy under laparoscopy.Method：150 cases with oophorocystectomy under laparoscopy in our hospital from October 2012 to October 2013 were divided into electric coagulation group and suture hemostasis group, 75 cases in each group,they were treated with electric coagulation and suture hemostasis respectively in oophorocystectomy under laparoscopy.FSH,LH,E2 were measured preoperative and 3 months after surgery,and basal antral follicle count were detected by vaginal ultrasound.Result：There were no significant difference on the levels of sex hormones and basal antral follicle number between the two group pre operation（P〉0.05）.After 3 months the FSH and LH levels of suture hemostasis group were significantly higher than the preoperative and electric coagulation group,the level of E2 was significantly higher than that of preoperative and suture hemostasis group;The number of antral follicles of electric coagulation group compared with those before operation was almost equal,but it was higher than that of the suture group,the differences were statistically significant（P〈0.05）.Conclusion：Endoscopic suture hemostasis should be used to stop bleeding in the oophorocystectomy under laparoscopy and protect ovarian reservation function to the greatest extent.