腹腔镜下卵巢巧克力囊肿剥除术中电凝止血法对卵巢功能的影响

Influence on ovary function studied with hemostatic methods of electric coagulation in shelling out endometriotic ovary-cyst under laparoscopy

目的探讨腹腔镜下卵巢巧克力囊肿剥除术中创面采用电凝止血方法对术后卵巢功能的影响。方法选取有手术适应证的卵巢巧克力囊肿患者32例,术中创面采用电凝法止血,于术前、术后及术后6个月抽血检测FSH、LH、E2及阴道B超探测窦状卵泡数(Fo)以判断卵巢储备功能。结果术后及术后6个月组较术前组的FSH、LH显著升高,E2、Fo显著降低(P<0.01);术后6个月组较术后组FSH升高(P<0.05)。术后及术后6个月组FSH≥12IU/L的患者数显著高于术前组(P<0.01)。结论腹腔镜下卵巢巧克力囊肿剥除术中电凝止血法易致卵巢储备功能降低。

[Objective] To study the influence on ovary function after operation with hemostatic methods of electric coagulation in shelling out endometriotic ovary-cyst under laparoscopy when bleeding. [Method] 32 patients with endometriotic ovary-cyst having operation indication were chosen and per for med with the hemostatic method of electric coagulation in the operation under laparoscopy. The serum levels of FSH, LH, and E2 of whole cases were inspected and basal antral follicle number （Fo） was monitored through transvaginal ultrasound as judging ovary reserve function before and after operation and 6 months later. [Results] The serum level of FSH and LH after operation and 6 months later was significantly higher than those before operation, while E2 and Fo was apparently lower. The serum level of FSH in the 6 months of operation was higher than that after operation. That patients of serum FSH level was more than 12 IU/L after operation and in the 6 months of operation was more than those before operation. [Conclusion] The hemostatic method of electric coagulation is easier in decreasing ovary reserve function during shelling out endometriotic ovary-cyst under laparoscopy.