Electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas assessed by antral follicle count: preliminary results of randomized clinical trial
Electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas assessed by antral follicle count: preliminary results of randomized clinical trial
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DOI：
10.1007/s00404-010-1676-x
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发表时间：
2011-02-01
影响因子：
2.6
通讯作者：
Banovic, Maja
中科院分区：
文献类型：
--
作者：
Coric, Mario;Barisic, Dubravko;Banovic, Maja
腹腔镜下剥除卵巢腺瘤后，电凝术与缝合术后窦卵泡计数（AFC）对卵巢储备功能的评估随机分析了45例年龄在18岁至35岁之间的单侧卵巢腺瘤患者。采用剥脱法行腹腔镜胆囊切除术。A组23例采用双极电凝止血，B组22例采用双极电凝止血。在术后3个月经周期的第3天进行AFC。比较缝合组（A1）和电凝组（B1）卵巢以及两组完整卵巢的AFC总和（A0：缝合组中的完整卵巢，B0：电凝组中的完整卵巢）两组患者中手术卵巢的AFC中位数均显著低于完整卵巢，无论是否切除卵巢[A1中位数：12（范围9 - 19）vs. A0中位数：21.0（范围15 - 27），p <0.05]或电凝[B1：5.0（2 - 10）vs. B0：18.5（8 - 29），p <0.05]。缝合组的AFC中位数显著高于电凝组[A1：12（9 - 19）vs. B1：5.0（2 - 10），p <0.05]。AFC值表明，卵巢储备减少缝合卵巢比那些电凝。缝合法是卵巢腺瘤剥除术后较好的止血方法。
The assessment of ovarian reserve by antral follicle count (AFC) following electrocoagulation versus suture after laparoscopic stripping of ovarian endometriomas.Forty-five patients between 18 and 35 years, with unilateral endometriomas were randomly analyzed. Laparoscopic cystectomy was performed by the stripping method. Ovarian hemostasis was obtained either by suturing (group A, n = 23) or by bipolar electrocoagulation (group B, n = 22). AFC was performed by ultrasound on the third day of the three postoperative menstrual cycles. The sum of AFC was compared between sutured (A1) and electrocoagulated (B1) ovaries, as well as between intact ovaries of both groups (A0: intact ovaries in sutured group, B0: intact ovaries in electrocoagulated group).The median of AFC was significantly lower in operated ovaries than in intact ovaries in both groups of patients, regardless of suturing [A1 median: 12 (range 9-19) vs. A0 median: 21.0 (range 15-27), p < 0.05] or electrocoagulation [B1: 5.0 (2-10) vs. B0: 18.5 (8-29), p < 0.05]. The median AFC was significantly higher in sutured ovaries than in electrocoagulated ovaries [A1: 12 (9-19) vs. B1: 5.0 (2-10), p < 0.05].Our preliminary data show that operation on ovarian endometriomas could reduce ovarian reserve. The AFC value suggests that the ovarian reserve was less reduced in sutured ovaries than in those electrocoagulated. Suturing as a method of hemostasis could be a better choice after stripping ovarian endometriomas.