腹腔镜卵巢囊肿剔除术中双极电凝止血对卵巢功能的影响

Effects of bipolar electrocoagulation on the ovary function after laparoscopic enucleation of ovarian cysts

目的:探讨腹腔镜卵巢囊肿剔除术中双极电凝止血对卵巢功能的影响。方法:分析我院2008年1月～2011年2月行卵巢囊肿剔除术143例患者的月经和性激素的变化。其中单侧卵巢囊肿腹腔镜剔除术61例,开腹剔除术42例;双侧卵巢囊肿腹腔镜剔除术17例,开腹剔除术23例。腹腔镜手术采用双极电凝止血,开腹手术采用卵巢创面缝合止血。结果:单、双侧卵巢囊肿剔除术后6月,腹腔镜组与开腹组患者月经异常的发生率差异均不显著。单、双侧卵巢囊肿剔除术后1月、3月,患者血清E2水平均显著下降,FSH水平和LH水平均显著上升,但腹腔镜组与开腹组差异均不显著;术后6月,患者血清E2、FSH、LH均恢复至术前水平。结论:腹腔镜卵巢囊肿剔除术中双极电凝止血不加重对卵巢功能的影响。

Objective：To observe the effects of bipolar electrocoagulation on the ovary function after excision of the ovarian cysts under laparo- scope. Methods ： The variations of menstrual cycles and sex hormone lev- els were examined in 143 patients undergone enucleation ovarian cysts be- tween Jan. 2008 and Feb. 2011. Of the 143 cases, 103 were unilateral o- varian cysts in which 61 were treated laparoscopieally and 42 were man- aged with open surgery, and another 40 were bilateral cysts in which 17 were undergone laparoscopic excision and 23, laparotomy. Hemostasis was performed by bipolar electrocoagulation for laparoscopic cases and wound suturing for cases of open surgery. Results ： By the sixth month after unilat- eral or bilateral ovarian cyst excision, the occurrence of abnormal menstrual cycle was not so significant in the patients by laparoscopy or lapa- rotomy. The levels of serum E2 were reduced at the 1st and 3rd month after surgery, whereas the levels of FSH and LH were elevated in either u- nilateral or bilateral cases, yet there was no significant difference between the groups treated with two different procedures. After 6 month of the sur- gery, the levels of serum E2, FSH and LH were recovered to preoperative normality. Conclusion ： Bipolar electrocoagulation appears to produce little impact on the ovarian function in patients undergone laparoscopic enucleation of ovarian cysts.