[1]王静静,刘雅红,应小燕*.卵巢创面电凝和缝合对卵巢储备功能的影响[J].中国微创外科杂志,2017,17(10):877-881.
 Wang Jingjing,Liu Yahong,Ying Xiaoyan..Effects of Two Different Hemostatic Methods of Electric Coagulation or Suture Hemostasisa on Ovarian Reservation Function After Laparoscopic Ovarian Surgery[J].Chinese Journal of Minimally Invasive Surgery,2017,17(10):877-881.
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卵巢创面电凝和缝合对卵巢储备功能的影响()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年10期
页码:
877-881
栏目:
临床论著
出版日期:
2017-10-20

文章信息/Info

Title:
Effects of Two Different Hemostatic Methods of Electric Coagulation or Suture Hemostasisa on Ovarian Reservation Function After Laparoscopic Ovarian Surgery
作者:
王静静刘雅红应小燕*
南京医科大学第二附属医院妇产科,南京210011
Author(s):
Wang Jingjing Liu Yahong Ying Xiaoyan.
Department of Obstetrics and Gynecology, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China
关键词:
腹腔镜手术卵巢子宫内膜异位囊肿创面止血卵巢储备功能
Keywords:
Laparoscopic surgeryOvarian endometriomaHemostasis of the wound surfaceOvarian reserve
文献标志码:
A
摘要:
目的探讨腹腔镜下单侧卵巢子宫内膜异位囊肿剥除术中创面采用不同止血方法对术后卵巢储备功能的影响。方法回顾性分析2011年1月~2015年6月118例腹腔镜单侧卵巢子宫内膜异位囊肿资料,按不同术者的习惯采用不同方式进行创面止血,其中双极电凝53例,缝合65例,比较2组术前和术后1、6个月促卵泡激素(follicle-stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)、雌二醇(estradiol,E2)及窦卵泡数(antral follicle count,AFC)的变化。结果2组术前FSH、LH、E2水平及AFC差异无统计学意义(P>0.05)。术后1个月2组FSH均较术前上升(P<0.05),E2及AFC均下降(P<0.05),电凝组比缝合组变化更明显(P<0.05),LH无明显变化(P>0.05)。术后6个月2组FSH、E2均有所恢复,缝合组与术前比较已无统计学差异(P>0.05),电凝组仍与术前有差异(P<0.05)。结论腹腔镜卵巢内膜异位囊肿剥除术均可致卵巢储备功能下降,创面电凝止血法比缝合止血法更易致卵巢储备功能损伤,应尽量采用缝合止血法。
Abstract:
ObjectiveTo evaluate the effects of electric coagulation or suture hemostasis on ovarian reservation function in laparoscopic ovarian cyst removal for ovarian endometriomas. Methods A total of 118 patients receiving laparoscopic ovarian cystectomy in our hospital from January 2011 to June 2015 were enrolled in this study. According to the habit of different operators, the patient were devided into either electric coagulation group (n=53) or suture group (n=65). The follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and antral follicle count (AFC) of the two groups were observed and compared before surgery and one and six months after surgery.ResultsThere were no differences in the levels of the FSH, LH, E2 and AFC between the two groups before the surgery (P>0.05). The level of FSH was increased and those of E2 and AFC were declined in both groups at 1 month after the operation compared with those before operation (P<0.05). Moreover, there were more significant differences in FSH, E2, and AFC in the electric coagulation group (P<0.05). There was no significant difference in LH (P>005). The levels of FSH and E2 recovered in both groups at 6 months after operation. There was no difference in FSH and E2 compared with the level before operation in the suture group (P>0.05), however, there was significant difference in the electric coagulation group (P<0.05).ConclusionsThe laparoscopic ovarian cystectomy for ovarian endometriomas leads to decreased ovarian reserve. As compared to bipolar coagulation, suture hemostasis can effectively reduce the damage of ovarian function, which should be applied as possible as we can.

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备注/Memo

备注/Memo:
*通讯作者,E-mail:xiaoyanying@yahoo.com
更新日期/Last Update: 2018-01-11