Effects of Wound Treatment Methods on Residual Ovarian Reserve Function after Laparoscopic Ovarian Cystectomy
10.3870/j.issn.1672-0741.2015.06.022
- VernacularTitle:腹腔镜下卵巢囊肿剥除术后创面处理方法对残留卵巢储备功能的影响
- Author:
Zhenhua LIU
;
Xinzhen MEI
;
Zhixiong CAO
- Publication Type:Journal Article
- Keywords:
laparoscopic surgery;
ovarian cystectomy;
ovarian reserve function
- From:
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
2015;(6):722-724
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of wound treatment methods on residual ovarian reserve function after laparoscopic ovarian cystectomy.Methods A total of 120 patients with ovarian cyst who underwent laparoscopic ovarian cystec‐tomy in the hospital were randomly divided into three groups in terms of different wound treatment methods:electric coagulation group ,ultrasound group and suture group ,with 40 cases in each group.The levels of follicle stimulating hormone(FSH) ,luteini‐zing hormone(LH) ,and estradiol(E2 ) were detected in the blood before and immediately after the operation ,2 days after men‐struation at postoperative 3 and 6 months ,and the number of ovarian reserve follicles determined by transvaginal ultra‐sound.The changes of menstruation and clinical manifestations of the patients were recorded at the same time.Results The lev‐els of LH ,E2 and FSH were dramatically changed in electric coagulation group ,which was followed by the ultrasonic group.Patients in the suture group had the smallest changes of these indices and recovered quickly(P<0.05).In the electric co‐agulation group relative to the other two groups ,the number of ovarian reserve follicles was significantly decreased and the inci‐dence of adverse reactions was profoundly increased.Conclusion Electric coagulation greatly adversely affects the residual ovar‐ian reserve function after laparoscopic ovarian cystectomy ,and ultrasonic and suture hemostasis techniques can help to protect o‐varian function.
