Effect of Suture, Monopolar and Bipolar Electrocoagulation and Ultrasonic Knife in Hemostasis on Ovarian Function and Prognosis of Patients Undergoing Laparoscopic Ovarian Endometriosis Cyst Excision
ZHANG Xuegang, LIU Qin, LU Xiaojuan, et al
Kunshan First People's Hospital, Jiangsu Suzhou 215300, China
Abstract：Objective: To investigate the effect of suture, monopolar and bipolar electrocoagulation and ultrasonic knife in hemostasis on ovarian function and prognosis of patients undergoing laparoscopic excision of endometriosis cyst .Methods: The clinical data of 133 patients with ovarian endometriosis cyst from May 2017 to April 2019 were analyzed retrospectively. Based on the hemostatic methods adopted in routine laparoscopic ovarian endometriosis cyst resection, the patients were divided into suture group (36 cases), monopolar electrocoagulation group (32 cases), bipolar electrocoagulation group (30 cases) and ultrasonic knife group (35 cases). The follicle stimulating hormone (FSH) and the sinusoidal follicle count (AFC) were observed at 1 month, 3 months,6 months and 12 months after operation. And menstrual changes and pregnancy outcomes were recorded in the follow-up 12 months after operation. Results: The level of follicle stimulating hormone (FSH) in the four groups at 1,3,6 and 12 months after operation was gradually increased, and the FSH level in the suture group at 12 months after operation was significantly lower than those in the other groups (P<0.05). The level of sinusoidal follicle count (AFC) decreased in all patients at 1 month after operation, and gradually increased at 3,6 and 12 months after operation. There was a statistical difference in the groups (P<0.05).The number of natural pregnancy cases in the suture group was 30(83.33%), which was significantly higher than that in the monopolar group, the bipolar group and the ultrasonic knife group (P<0.05), and the number of abnormal menstrual cases in the suture group was 3(8.33%), which was significantly lower than that in the other three groups (P<0.05). Conclusion: Monopolar electrocoagulation, bipolar electrocoagulation and ultrasonic knife hemostasis can cause great harm to the ovarian function of patients undergoing laparoscopic ovarian cystectomy, and seriously affect the prognostic effect.
张雪刚, 刘琴, 陆小娟, 伍亚伟. 缝合法单双电凝与超声刀止血对腹腔镜下卵巢子宫内膜异位囊肿剥除术患者卵巢功能及预后的影响[J]. 河北医学, 2020, 26(10): 1673-1677.
ZHANG Xuegang, LIU Qin, LU Xiaojuan, et al. Effect of Suture, Monopolar and Bipolar Electrocoagulation and Ultrasonic Knife in Hemostasis on Ovarian Function and Prognosis of Patients Undergoing Laparoscopic Ovarian Endometriosis Cyst Excision. HeBei Med, 2020, 26(10): 1673-1677.
[1] 高艳艳,李小芹,杨毅,等.腹壁子宫内膜异位症的MRI诊断[J].医学影像学杂志,2017,27(4):714~717. [2] Michael Noe, Ayse Ayhan, Tian~Li Wang,et al. Independent development of endometrial epithelium and stroma within the same endometriosis[J]. Journal of Pathology, 2018, 245(3):265~269. [3] 汪俊,王芳,潘伟.腹腔镜卵巢子宫内膜异位囊肿剥除术中150例缝合止血联合不同电凝治疗的疗效及预后分析[J].中国性科学,2018,27(6):50~53. [4] 甘会书,王凤永,温中琼,等.三维能量超声成像技术检测不同止血方式对单侧卵巢子宫内膜异位症囊肿剥除术后患者卵巢储备功能影响[J].中国医学装备,2019,16(3):75~79. [5] Georgine Lamvu, Ahmed M. Soliman, et al. Patterns of prescription opioid use in women with endometriosis: evaluating prolonged use, daily dose, and concomitant use with benzodiazepines[J]. Obstetrics and Gynecology, 2019, 133(6):1. [6] 郎月华,楼彩虹,李云,等.腹腔镜下卵巢子宫内膜异位囊肿剔除术中3种止血方式对术后卵巢功能的影响[J].中华全科医学,2017,15(12):2089~2092. [7] 白海燕.经腹腔镜下卵巢囊肿剥除术与经腹卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响[J].实用癌症杂志,2017,32(11):1879~1881. [8] 刘高焰,周春娅,朱会蓉,等.间隙分离法对腹腔镜下卵巢子宫内膜异位囊肿剥除术后卵巢功能的保护价值[J].新疆医科大学学报,2019,42(7):907~910. [9] 李睿.三种方式子宫切除术治疗子宫肌瘤患者的疗效及对女性卵巢功能的影响[J].河北医学,2018,24(10):1696~1701. [10] 苏亚璞.腹腔镜卵巢子宫内膜异位症囊肿剥除术中不同止血方法对患者卵巢储备功能的影响[J].河南医学研究,2018,27(3):466~467.
2020, Vol. 26 
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