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采用双极电凝止血对患者卵巢储备功能的影响。方法收集我院2011年1—12月行腹腔镜下单侧卵巢子宫内膜异位囊肿剥除术48例,术中采用双极电凝法止血,于术前、术后首次月经及手术6个月后第1次月经时检测基础性激素水平及经阴道超声探测窦状卵泡数(Fo)、卵巢基质收缩期血流速度峰值(PSV)数据并统计分析以判断卵巢储备功能。结果与术前、手术6个月后第1次月经时比较,术后首次月经时FSH水平显著升高(P<0.05),E2、Fo、PSV显著降低(P<0.05)。术后6个月91.7%的患者卵巢储备功能恢复正常。结论腹腔镜下单侧卵巢子宫内膜异位囊肿剥除术中应用双极电凝法止血易导致卵巢储备功能暂时降低,但术后6个月内可基本恢复。
Objective To explore the influence of hemostatic methods of bipolar electrocoagulation on ovarian reserve function in treatment of unilateral chocolate cyst of ovary by laparoscopic cystectomy.Methods 48 patients with unilateral chocolate cyst of ovary from January to December in 2011 were treated with laparoscopic cystectomy in our hospital,and bipolar electrocoagulation was adopted during operation.The basal sexual hormone levels,amounts of basal antral follicles（Fo）,peak systolic of blood flow velocity（PSV） by transvaginal sonography were tested before the operation,in the first menstrual cycle and 6 months later after operation to explore ovarian reserve function.Results The serum levels of follicle stimulating hormone（FSH） before and after operation and 6 months after operation were compared,the data increased significantly after the operation（P0.05）;E2,Fo and PSV significantly declined（P0.05）.6 months after operation,the ovarian reserving function in 91.7% of the patients recovered to normal.Conclusion The ovarian reserving function tends to decrease temporarily after hemostasis by bipolar electrocoagulation in laparoscopic cystectocmy in treatment of unilateral chocolate cyst of ovary,but most patients can recover after operation in 6 months.
出处
《解放军医药杂志》
CAS
2012年第10期31-33,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
