Cao Huan Huan , Huang Shu Xian , Liu Qiong Hua . Effects of Different Hemostatic Methods on Ovarian Function in Laparoscopic Excision of Ovarian Endometriotic Cysts[J]. Journal of Kunming Medical University, 2017, 38(07): 118-121.
Citation: Cao Huan Huan , Huang Shu Xian , Liu Qiong Hua . Effects of Different Hemostatic Methods on Ovarian Function in Laparoscopic Excision of Ovarian Endometriotic Cysts[J]. Journal of Kunming Medical University, 2017, 38(07): 118-121.

Effects of Different Hemostatic Methods on Ovarian Function in Laparoscopic Excision of Ovarian Endometriotic Cysts

Funds:

基金: 苏州市科技发展计划基金资助项目 (SYSD2012009);

  • Received Date: 2017-04-27
  • Objective To compare the effect of different hemostatic methods on ovarian function in laparoscopic excision of ovarian endometriotic cysts. Methods From August 2014 to August 2016, 96 patients with laparoscopic excision of ovarian endometriosis were divided into two groups according to the number of random numbers. The control group was treated with bipolar coagulation hemostasis while the observation group was treated with suture hemostasis. The operation of the two groups was analyzed, and the ovarian function and natural pregnancy rate were analyzed before and after the operation. Results There was no significant difference in the operation time, intraoperative blood loss and pain score between the two groups (P>0.05) . The incidence of postoperative bleeding rate and postoperative complication rate in the observation group were significantly lower than those in the control group (P<0.05) . The levels of FSH, E2 and P in the observation group were lower than those in the control group (P>0.05) while the LH, AFC and PSV indexes were significantly higher than those in the control group (P<0.05) The natural pregnancy rate was slightly higher than that of the control group and the difference was not statistically significant (P>0.05) . Conclusion The use of bipolar coagulation and hemostasis in the treatment of laparoscopic ovarian endometriosis can effectively reduce postoperative bleeding and complications and improve the natural pregnancy rate, but the use of suture hemostasis is worth promoting for it can retain the normal ovarian tissue and reduce the impact on ovarian function as much as possible.
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  • [1]郭小玲.腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血对卵巢储备功能影响的研究[J].中国实用医药, 2016, 11 (16) :96-97.
    [2]郑爱梅, 刘曼华.卵巢子宫内膜异位囊肿腹腔镜剥离术中不同止血方法对卵巢功能的影响[J].临床和实验医学杂志, 2016, 15 (20) :1990-1993.
    [3]欧艳梅.腹腔镜卵巢子宫内膜异位囊肿剥除术中不同止血方法对卵巢储备功能的影响及疗效分析[J].山西职工医学院学报, 2016, 26 (04) :24-25.
    [4]
    [4]TAEJONG SONG, SAN-HUI LEE, WOO YOUNG KIM.Additional benefit of hemostatic sealant in preservation of ovarian reserve during laparoscopic ovarian cystectomy:a multi-center, randomized controlled trial[J].Human reproduction (Oxford, England) , 2014, 29 (8) :1659-1665.
    [5]陈建炜.腹腔镜不同术式治疗卵巢子宫内膜异位囊肿的疗效观察[J].现代实用医学, 2014, 26 (09) :1135-1137.
    [6]李晓, 何云渝.两种腹腔镜卵巢子宫内膜异位囊肿剥除方法对卵巢储备功能的影响[J].中国妇幼保健, 2015, 30 (1) :158-160.
    [7]欧阳密霞, 苏慧琳, 邹雯, 等.双极电凝止血在腹腔镜卵巢子宫内膜异位囊肿剥除术中的应用[J].中国基层医药, 2017, 24 (5) :702-706.
    [8]
    [8]HAKAN ZGNEN, EVRIM ERDEMOGLU, ILKER GNYELI, et al.Comparison of the effects of laparoscopic bipolar electrocoagulation and intracorporeal suture application to ovarian reserve in benign ovarian cysts[J].Archives of gynecology and obstetrics, 2013, 287 (4) :729-732.
    [9]毛轶凡, 何莲芝, 张莉亚.AMH评估手术联合Gnrh-a治疗卵巢子宫内膜异位症时卵巢功能恢复情况的研究[J].齐齐哈尔医学院学报, 2016, 37 (25) :3137-3140.
    [10]单江静, 郑媛媛, 卢琪芸, 等.腹腔镜子宫内膜异位症卵巢囊肿剥除术中不同止血方法对卵巢功能影响[J].中华内分泌外科杂志, 2016, 10 (2) :170-177.
    [11]李日红, 陈光元, 黄平.腹腔镜下卵巢囊肿剔除术中不同止血方法对卵巢功能近期与远期的影响[J].海南医学, 2016, 27 (20) :3347-3349.
    [12]
    [12]MOHAMED L MOHAMED, AMAL A NOUH, MANAL M EL-BEHERY, et al.Effect on ovarian reserve of laparoscopic bipolar electrocoagulation versus laparotomic hemostatic sutures during unilateral ovarian cystectomy[J].International Journal of Gynaecology and Obstetrics:the Official Organ of the International Federation of Gynaecology and Obstetrics, 2011, 114 (1) :69-72.
    [13] 陈建炜.腹腔镜不同术式治疗卵巢子宫内膜异位囊肿的疗效观察[J].现代实用医学, 2014, 26 (9) :1135-1137.
    [14]席艳妮, 曹丽芬.OEMC剥除术中三种不同止血方法对卵巢功能恢复的影响[J].湖南师范大学学报 (医学版) , 2016, 13 (4) :89-93.
    [15]王海燕, 葛迎春.腹腔镜下卵巢异位囊肿剥除术2种止血方法对卵巢储备功能的影响[J].现代医药卫生, 2015, 31 (23) :3597-3598.
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