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目的:探讨两种不同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。方法:选取云南省第一人民医院自2012年6月~2013年6月行腹腔镜卵巢囊肿剔除术的单侧卵巢囊肿的患者87例,随机分为电凝组44例及缝合组43例,电凝组采用双极电凝止血,缝合组采用镜下缝合止血,对比两组术前,术后3月卵巢激素水平及血流参数。结果:术前电凝组及缝合组雌二醇(E2)、卵泡刺激素(FSH)、促黄体生成素(LH)、孕酮(P)比较,差异无统计学意义(P>0.05)。电凝组及缝合组术后E2、FSH、LH、P较术前比较,差异无统计学意义(P>0.05)。术后电凝组E2和FSH较缝合组比较,差异具有统计学意义(P<0.05)。术前电凝组及缝合组E2、FSH、LH、P比较,差异无统计学意义(P>0.05)。电凝组及缝合组术后E2、FSH、LH、P较术前比较,差异无统计学意义(P>0.05)。术后电凝组E2、FSH较缝合组比较,差异具有统计学意义(P<0.05)。术前电凝组及缝合组卵巢截面面积及PSV比较,差异无统计学意义(P>0.05)。术后电凝组及缝合组卵巢截面面积比较,差异无统计学意义(P>0.05),PSV差异具有显著性(P<0.05)。结论:腹腔镜卵巢囊肿剔除术中应用镜下缝合止血较应用腹腔镜电凝止血对卵巢损伤小,更易保护卵巢功能。
Objective: To investigate the effects of two different laparoscopic ovarian endometriotic cyst stripping methods on ovarian reserve function. Methods: A total of 87 patients with unilateral ovarian cyst undergoing laparoscopic ovarian cyst resection from June 2012 to June 2013 in Yunnan First People’s Hospital were randomly divided into electrocoagulation group (44 cases) and suture group (43 cases) Electrocoagulation group with bipolar coagulation hemostasis, suture group using microsurgical suture hemostasis, compared with two groups of preoperative and postoperative ovarian hormone levels and blood flow parameters. Results: There was no significant difference in the values of estradiol (E2), follicle stimulating hormone (FSH), luteinizing hormone (LH) and progesterone (P) between preoperative coagulation group and suture group (P> 0.05). There was no significant difference in E2, FSH, LH, P between the coagulation group and the suture group after operation (P> 0.05). The difference of E2 and FSH between postoperative coagulation group and suture group was statistically significant (P <0.05). Preoperative electrocoagulation group and suture group E2, FSH, LH, P, the difference was not statistically significant (P> 0.05). There was no significant difference in E2, FSH, LH, P between the coagulation group and the suture group after operation (P> 0.05). The postoperative electrocoagulation group E2, FSH than the suture group, the difference was statistically significant (P <0.05). There was no significant difference in ovarian cross-sectional area and PSV between preoperative coagulation group and suture group (P> 0.05). There was no significant difference in ovarian cross-sectional area between the electrocoagulation group and the suture group (P> 0.05). The PSV difference was significant (P <0.05). Conclusion: Laparoscopic ovarian cyst resection using microsurgical stitching hemostasis than laparoscopic electrocision hemostasis less damage to the ovary, easier to protect ovarian function.