Abstract:
Objective To compare the effect of suture hemostasis and traditional electrocoagulation on ovarian function and pregnancy rate in patients with laparoscopic removal of benign ovarian tumors.
Methods A total of 86 patients who underwent laparoscopic resection of benign ovarian tumors were selected, and were randomly divided into experimental group(
n=43)and control group(
n=43)according to different hemostasis methods. The experimental group was treated with suture hemostasis and the control group with traditional electrocoagulation hemostasis. The levels of follicle stimulating hormone(FSH), estradiol(E
2), luteinizing hormone(LH)before and at 3 months after surgery, the number of eggs, follicles and ovarian sinus follicles before and after operation were compared. The pregnancy conditions of the two groups were compared at 1 year after operation.
Results There were no significant differences in preoperative FSH, E
2 and LH levels between the two groups(
P>0.05); there was no significant difference in the LH level at 3 months after operation between the experimental group and the control group(
P>0.05). The FSH level was significantly lower, and E
2 level was significantly higher than those of preoperation and the control group(
P<0.05). There were no significant differences in the number of eggs, follicles and sinus follicles before - surgery between the two groups(
P>0.05), and the above indicators after surgery in the two groups were significantly lower than operation before(
P<0.05), but were significantly higher in the experimental group than the control group(
P<0.05). The pregnancy rate was 69.77% in the experimental group and 62.79% in the control group, but no significant difference was found in two groups(
P>0.05).
Conclusion Laparoscopic removal of benign ovarian tumors by suture hemostasis has little effect on postoperative ovarian function and can be favorable for postoperative pregnancy.