摘要
Abstract
Objective To explore the influence of different ways of intraoperative hemostasis during laparoscopic ovarian cystectomy for ovarian reserve function on sex hormone and anti-miillerian hormone (AMH).Methods Totally 126 cases of benign ovarian cysts were chosen and they were randomly divided into electric coagulation group ( n =43 ) , suture hemostatic group ( n =46 ) and oppression hemostasis group (n=37).The influence of three kinds of hemostasis methods on sex hormone level , AMH, sinus follicle number and premature ovary failure was assessed.Results Postoperative FSH, LH and E2of the electric coagulation group were improved significantly (t value was 5.738, 6.762 and 7.084, respectively, all P<0.05), while LH of the suture hemostatic group increased significantly (t=6. 761, P<0.05).FSH, LH and E2 of the suture hemostatic group decreased remarkably compared with those of the electric coagulation group (t value was 5.804, 7.732 and 6.774, respectively, all P<0.05), and FSH, LH and E2 of the oppression hemostasis group decreased significantly compared with those of the electric coagulation group (t value was 6.726, 6.347 and 7.083, respectively, all P<0.05).AMH, sinus follicle number of the electric coagulation group had significant decrease after operation (t value was 5.762 and 4. 526, respectively, both P<0.01), and AMH in the suture hemostatic group and the oppression hemostasis group declined significantly after operation (t value was 6.562 and 5.184, both P<0.05).The sinus follicle in suture hemostatic group was significantly more than that in the electric coagulation group ( t =8.749, P <0.01), and AMH and sinus follicle number increased more in the oppression hemostasis group than in the electric coagulation group (t value was 7.194 and 5.837, respectively, both P<0.05).The difference in the incidence of premature ovary failure among three groups was significant (χ2 =9.847, P <0.05).Conclusion Suture hemostasis and oppression hemostasis during laparoscopic ovarian cystectomy are more likely to protect ovarian reserve function , and oppression hemostasis is more effective with caution of cases choosing .关键词
卵巢囊肿/腹腔镜/止血/卵巢储备功能Key words
ovarian cyst/laparoscopy/hemostasis/ovarian reserve function分类
医药卫生
