三种腹腔镜卵巢子宫内膜异位症囊肿剥除术中不同止血方法对患者卵巢储备功能影响.doc

三种腹腔镜卵巢子宫内膜异位症囊肿剥除术中不同止血方法对患者卵巢储备功能的影响 　　[摘要] 目的 探讨三种腹腔镜卵巢子宫内膜异位囊肿剥除术中不同止血方法对患者卵巢储备功能的影响。 方法 选取本院2011年4月～2012年1月收治的122例卵巢子宫内膜异位囊肿患者作为研究对象，常规行腹腔镜卵巢子宫内膜异位囊肿剥除术，按术中不同止血方法分为超声刀组（31例）、双击电凝组（33例）和缝合组（58例），分别在入院时及术后1、3、6、12个月检测患者FSH及AFC水平，在术后24个月调查患者的自然妊娠情况，比较不同止血方法对三组患者卵巢储备功能的影响。 结果 入院时三组患者FSH水平比较差异无统计学意义（P0.05）；术后1、3、6、12个月时三组患者FSH水平较入院时不同程度升高，差异有统计学意义（P0.05）；在术后3、6、12个月时缝合组患者AFC水平较超声电刀组和双击电凝组高，差异有统计学意义（P0.05）。术后24个月，缝合组患者的自然妊娠率达36.2%，高于双击电凝组和超声刀组，差异有统计学意义（F=7.285，P0.05）。 结论 在卵巢子宫内膜异位囊肿腹腔镜下剥除术中应用超声刀止血法和双击电凝止血法均会降低患者卵巢储备功能，影响患者自然妊娠能力，而缝合法相对影响较小。 　　[关键词] 止血；腹腔镜手术；卵巢子宫内膜异位囊肿；卵巢储备功能 　　[中图分类号] R711.71[文献标识码] A[文章编号] 1674-4721（2014）06（b）-0046-03 　　 　　The effects of three types of different hemostasis methods in laparoscopic cystectomy for ovarian endometriosis cyst on patients′ ovarian reserve function 　　QIU Jia-ling LUO Jia SONG Ying-wei 　　Reproductive Centre,Dongguan Kanghua Hospital in Guangdong Province,Dongguan523800,China 　　[Abstract] Objective To explore the effects of three types of different hemostasis methods in laparoscopic cystectomy for ovarian endometriosis cyst on patients′ ovarian reserve function. Methods 122 patients with ovarian endometriosis cyst in our hospital from April 2011 to January 2012 were selected as research subjects.They received regular laparoscopic cystectomy for ovarian endometriosis cyst,and were allocated to an ultrasound knife group(31 patients),a bipolar electrocoagulation group(33 patients)and a suture group according to different hemostasis methods during the surgery.FSH and AFC level in patients upon admission,and in 1,3,6 and 12 months after the surgery were tested,and natural pregnancy of patients in 24 months after the surgery was observed.The effects of different hemostasis methods on ovarian reserve function between the three groups were compared. Results FSH level in the three groups upon admission was compared,with no statistical difference(P0.05).FSH level in 1,3,6 and 12 months after the surgery in the three groups al