腹腔镜卵巢巧克力囊肿剥除术创面不同止血法对卵巢储备功能的影响

目的:探讨腹腔镜下卵巢巧克力囊肿剥除术中创面采用不同止血法对术后卵巢储备功能的影响。方法:选取有手术适应证的卵巢巧克力囊肿患者100例,对腹腔镜下卵巢巧克力囊肿剥除术中创面采用单极电凝、双极电凝和缝合3种止血方法,单极电凝组(A组)30例,双极电凝组(B组)34例,缝合组(C组)36例。所有患者术前、术后1个月(术后第1次月经)及6个月分别抽血检测卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)及阴道超声探测窦状卵泡数(Fo)以判断卵巢储备功能。结果:A、B组患者在术后1月均出现E2下降及FSH、LH增高,阴道超声探测Fo分别与术前比较差异有统计学意义(P<0.05),A、B组分别与C组术后1个月E2、FSH、LH、阴道超声探测Fo的比较差异有统计学意义(P<0.05)。A组与B组术后1个月的E2、FSH、LH水平,阴道超声探测Fo比较差异有统计学意义(P<0.05)。A、B组术后6个月的E2、FSH、LH水平,阴道超声探测Fo与术前比较差异无统计学意义(P>0.05)。C组术后1个月、6个月的E2、FSH、LH水平,阴道超声探测Fo与术前比较差异无统计学意义(P>0.05)。结论:腹腔镜下卵巢巧克力囊肿剥除术中单极电凝止血较双极电凝止血及缝合止血易造成卵巢储备功能降低,而这2种电凝止血方法均较缝合止血方法加重对卵巢功能的损伤,缝合止血方法对卵巢功能无损伤。

Effects of different hemostatic methods of surface of the wound in laparoscopic cystectomy for chocolate cyst of ovary on ovarian reserve function

Objective:To explore the effects of different hemostatic methods of surface of the wound in laparoscopic cystectomy for chocolate cyst of ovary on ovarian reserve function. Methods:100 cases with indications of chocolate cyst of ovary were selected,the surface of the wound in laparoscopic cystectomy for chocolate cyst of ovary was treated with three kinds of hemostatic methods,including unipolar electrocoagulation,bipolar electrocoagulation and suture hemostasis,so the cases were divided into three groups: ...