Influence on ovarian reservation function with two different homostatic methods during laparoscopic cystectomy in treatment of endometrioma
10.3969/J.ISSN.1672-8270.2015.08.028
- VernacularTitle:腹腔镜卵巢子宫内膜异位囊肿剥除术中不同止血方法对卵巢储备功能的影响
- Author:
Xiangling ZHANG
;
Min HAN
;
Zhimin QIN
- Publication Type:Journal Article
- Keywords:
Laparoscopic;
Ovary endometriomas;
Ovarian reserve
- From:
China Medical Equipment
2015;(8):88-91
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the impact on ovarian reserve function with two different homostatic methods during laparoscopic cystectomy in treatment of endometrioma.Methods:Eighty four cases with unilateral ovarian cysts which located outside of hilum of ovary undergoing laparoscopic surgery were enrolled in the study. Based on hemostasis method, all patients were divided into 2 groups. Study group included 40 cases in ultrasonic scalpel hemostasis. Control group included 44 cases with suture after excision of endometrioma. Before surgery and the 1st, 3rd cycle after surgery, serum FSH, LH and AMH, and ultrasound basal AFC and PSV were examined and compared.Results: The level of FSH, LH, AMH, AFC and PSV had significant difference between before surgery and after surgery 1st, 3rd. The level of FSH, LH, AMH, AFC and PSV had significant difference within group comparisons after surgery 1st, 3rd. The level of serum FSH and LH in study group were lower than these in control group after surgery 1st. The level of serum AMH in study group were higher than in control group after surgery 3st. The level of serum PSV in study group were higher than in control group after surgery 3st.Conclusion: Ovarian reserve function was decresed heavier in ultrasonic scalpel hemostasis during laparoscopic excision of ovarian endometrioma than in suture. Electrocoagulation of the ovarian tissue should be avoided.
