Comparison of the Effects of Electrocoagulation Hemostasis and Suture Hemostasis After Ovarian Cyst Dissection
Objective:To compare the efficacy of electrocoagulation hemostasis and suture hemostasis combined with subcutaneous injection of gonadotropin-releasing hormone analogue(GnRH-a)in the treatment of ovarian chocolate cyst after ovarian cyst dissection.Methods:The clinical data of 80 patients with ovarian chocolate cyst in our hospital from January to December 2022 were retrospectively analyzed.All patients underwent ovarian cyst dissection and subcutaneous injection of GnRH-a after operation.According to the postoperative hemostasis method,they were divided into group A(suture hemostasis,40 patients)and group B(electrocoagulation hemostasis,40 patients).All patients were treated with leuprorelin sustained-release microspheres after operation.The surgical indexes,dysmenorrhea symptom score,pelvic pain symptom score,treatment efficiency and adverse reactions were compared between the two groups.Results:The operation time of group B was lower than that of group A(P<0.05).There was no significant difference in blood loss between group B and group A(P>0.05).The dysmenorrhea symptom score of group B was lower than that of group A after treatment(P<0.05).There was no significant difference in pelvic pain score,effective rate of treatment,perimenopausal symptoms,allergic dermatitis,abnormal liver and kidney function and irregular vaginal bleeding between group B and group A(P>0.05).he levels of E2 in group A were higher than those in group B at 1 month,6 months and 12 months after operation,and the levels of LH were lower than those in group B(P<0.05).The level of FSH in group A was lower than that in group B at 1 month after operation(P<0.05).F0 in group A was higher than that in group B at 1 month,6 months and 12 months after operation,and EDV in group A was higher than that in group B at 1 month and 6 months after operation(P<0.05).Conclusion:Suture hemostasis and electrocoagulation hemostasis are similar in the treatment of ovarian chocolate cyst patients with ovarian cyst resection combined with GnRH-a.Both have their own advantages.Electrocoagulation hemostasis can shorten the operation time and reduce the dysmenorrhea symptoms of patients.Suture hemostasis has little effect on ovarian function and can promote the recovery of ovarian function.
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