Effects of the different hemostatic methods during the laparoscopic ovarian cystectomy of patients with ovarian cysts on their immunity and ovarian reserve function
Objective:To investigate the effects of the different hemostatic methods during the laparoscopic ovarian cys-tectomy of patients with ovarian cysts on their immunity and ovarian reserve function.Methods:A total of 56 patients with ovarian cysts who wanted laparoscopic ovarian cystectomy were selected in this study from October 2022 to Octo-ber 2023.The patients who had received electrocoagulation hemostasis during the operation were in group A and 56 pa-tients who had received suture hemostasis during the operation were in group B.The operation related indexes,the lev-els of body immunity function indexes,such as CD8+T,CD69 and CD30,the ovarian stromal blood flow and the re-serve function situation of the patients were compared between the two groups.Results:The operation time(54.1±2.3 min)and the intraoperative blood loss(41.1±2.7 ml)of the patients in group A were significantly lower than those(68.1±2.1 min and 49.9±3.1 ml)of the patients in group B(all P＜0.05).There was no significant difference in the hospitalization time of the patients between the two groups(P＞0.05).1 day after operation,the level of CD8+T of the patients in the two groups had decreased significantly,and the levels of CD69 and CD30 of the patients in the two groups had increased significantly,but the changes of the patients in group A were significantly lower than those of the patients in group B.Three months after operation,the values of ovarian vascular matrix pulsatility index(1.26±0.10)and the resistance index(0.78±0.07)of the patients in group A were significantly higher than those(1.19±0.22 and 0.74±0.13)of the patients in group B.The ovarian vascular minimum diastolic flow velocity value(2.57±0.18 cm/s)of the patients in group A was significantly lower than that(2.93±0.31 cm/s)of the patients in group B.The levels of serum follicle-stimulating hormone and luteinizing hormone of the patients in group A were significantly higher than those of the patients in group B,and the serum estradiol level of the patients in group A was significantly lower than that of the patients in group B.The peak velocity value of ovarian vascular stromal blood flow(9.04±1.04 cm/s)and the number of ovarian antral follicles(5.57±0.68 eggs)of the patients in group A were significantly lower than those(10.98±1.01 cm/s and 7.13±0.55 eggs)of the patients in group B(all P＜0.05).Conclusion:Compared with those of the suture hemostasis,the electrocoagulation hemostasis during laparoscopic ovarian cystectomy of the patients has shorter operation time,less intraoperative blood loss and less influence on the immune function of the patients,but which has more influence on the ovarian stromal blood flow and reserve function of the patients.
Laparoscopic ovarian cystectomyElectrocoagulation hemostasisSuture hemostasisOperation indicatorBody immunityOvarian reserve function
万方数据
维普
