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| 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 |
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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.
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2020, Vol. 26 
