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目的探讨不同止血方法对双侧卵巢储备功能的影响。方法选取我院2013年8月~2014年9月收治的卵巢子宫内膜异位囊肿患者78例,将其随机分为A组与B组,各39例。两组患者均行常规腹腔镜卵巢子宫内膜异位囊肿剥除术,A组采取超声刀止血,B组采取缝合止血。对两组患者术后窦卵泡计数(AFC)与促卵泡性腺激素(FSH)水平进行记录与分析,同时比较两组患者术后2年的自然妊娠情况。结果两组患者术后1个月、6个月及1年时的FSH水平较治疗前均有所升高,且B组与A组比较,差异有统计学意义(P<0.05);B组术后6个月、1年时的AFC水平显著高于A组,差异有统计学意义(P<0.05);B组患者的自然妊娠率显著高于对照组,差异有统计学意义(P<0.05)。结论对于卵巢子宫内膜异位囊肿患者来说,在行腹腔镜剥除术时通过超声刀止血会影响到患者的卵巢储备功能,从而影响其自然妊娠能力,而缝合法对患者卵巢储备功能影响相对较小,安全性高,值得临床推广。
Objective To investigate the effect of different hemostatic methods on bilateral ovarian reserve. Methods Seventy-eight patients with ovarian endometriosis were selected from August 2013 to September 2014 in our hospital. They were randomly divided into A group and B group, with 39 cases in each group. Two groups of patients underwent routine laparoscopic ovarian endometriosis cyst stripping, A group to take the ultrasonic knife to stop bleeding, B group to take suture hemostasis. AFC and FSH levels were recorded and analyzed in both groups. The two-year post-operation natural pregnancy status was compared between the two groups. Results The levels of FSH at 1 month, 6 months and 1 year after operation in both groups were significantly higher than those before treatment, and there was significant difference between group B and group A (P <0.05). Group B The AFC level at 6 months and 1 year after operation was significantly higher than that in A group (P <0.05). The natural pregnancy rate in group B was significantly higher than that in control group (P < 0.05). Conclusions In patients with ovarian endometriosis, the hemostatic effect of laparoscopic dissection can affect the ovarian reserve of patients and thus affect their ability to spontaneously pregnancy. However, the effect of suture on ovarian reserve in patients with ovarian endometriosis Relatively small, safe, it is worth clinical promotion.