腹腔镜下卵巢巧克力囊肿剥离术中“PK刀”和“热能刀”分离止血对卵巢功能的影响

Influence of two hemostatic methods with Stariou instruments and Scaple PK on ovary function in shelling out endometriotic ovary-cyst in laparoscopy

目的探讨腹腔镜下卵巢巧克力囊肿剥离术中"PK刀"和"热能刀"两种器械分离止血方法对卵巢功能的影响。方法对116例腹腔镜下卵巢巧克力囊肿剥离术中创面采用5 mm"PK刀"电凝(48例)和"热能刀"烧伤(68例)两种方法止血,术前(月经第2、3天)及术后(第2次月经第2、3天)采取静脉血4 mL检验卵泡刺激素(FSH)、黄体生成素、雌二醇3种女性激素以判断卵巢储备功能。结果两组激素比较,术前差异无显著性(P>0.05),术后差异有显著性(P<0.05),"PK刀"电凝组术后复查FSH>12 U/L者10例(20.9%),"热能刀"烧伤组术后复查FSH>12 U/L者4例(5.89%),差异有统计学意义(P<0.05)。结论"PK刀"较"热能刀"易造成卵巢储备功能的降低。

Objective To study the influence of two hemostatic methods with Stariou instruments and Scaple PK on ovary function after operation in shelling out endometriotic ovary-cyst in laparoscopy. Methods 116 patients with endometriotic ovary-cyst having operation indication were randomly divided into two groups： 48 patients for Scaple PK and 68 patients for Stariou instrument, according to hemostatic methods in the operation laparoscopy. The serum levels of serum follicle stimulsting hormone （FSH）, lutinizing hormone （LH） and estradiol （E2） of all the patients were inspected as judging ovary reserve function before and one month after operation. Results There was no statistical significance for serum levels of FSH, LH and E2 before operation for the two groups （P 〉0.05） while there was statistical significance after operation （P 〈0.05）. The former group reexamined 10 patients with level of serum FSH higher than 12 U/L （20.9%） and the latter reexamined 4 patients whose FSH was higher than 12 U/L （5.89%） after operation. Thus the difference had statistical significance （P 〈0.05）. Conclusion The hemostatic method of Scaple PK is more likely to decrease ovary reserve function than Stariou instrument method during shelling out ovary-cyst in laparoscopy.