腹腔镜卵巢巧克力囊肿剥除术电凝止血对卵巢储备功能的影响

Influence on Ovarian Reservation with Electric Coagulation in Endometriotic Cystectomy 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:选取有腹腔镜手术适应证的卵巢巧克力囊肿患者39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)、卵巢间质动脉血流的收缩期峰值(PSV)以判断卵巢储备功能。结果:术后及术后6个月较术前的FSH显著升高(P<0.05),E2、Fo、PSV显著降低(P<0.01);患者术前基础内分泌指标、窦状卵泡数及FSH/LH的比值均在正常范围。术后检查共发现8例(24.2%)卵巢储备功能下降的患者。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 ovarian function after operation with electric coagulation in stripping endometriotic cyst under laparoscopy. Methods： 39 patients with endometdotic cyst were chosen and performed with the hemostatic method of electric coagulation in the operation under laparoscopy. The serum levels of follicle stimulating hormone （FSH）, luteinizing hormone （LH）, and estradiol （E2）were detected; basal antral follicle number （Fo） and peak systolic velocity （PSV） in ovarian stroma was monitored through transvaginal ultrasound as judging ovary reserve function before and after operation, and 6 months later. Results：The serum FSH and LH level in post-operation and 6 months later were significantly higher than pre-operation, while E2, Fo, and PVS were apparently decreased. There were 8 patients （24.2%） whose ovarian function decreased after operation. Conclusions： The hemostatic method of electric coagulation can negatively effect on ovarian reservation during stripping endometriotic cyst under laparoscopy.