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Abstract Objective To explore the influence of different hemostatic methods on ovarian function in o-varian endometriotic cyst undergoing laparoscopic cystectomy .[Methods] Totally 66 patients with ovarian en-dometriotic cyst underwent laparoscopic cystectomy .All patients were divided into microscopic suture group ( n =36) and electrocoagulation group( n=30) .Estradiol(E2 ) ,follicle stimulating hormone(FSH) ,luteini-zing hormone(LH) ,the number of sinusoidal follicles ,normal ovarian function and the declined ovarian re-serve function in two groups were observed before and 6 months after operation .[Results]There was no signif-icant difference in the normal rate of ovarian function and the declining rate of ovarian reserve function before operation bwteem two groups( P>0 .05) .After operation ,the normal rate of ovarian function in suture group was markedly higher than that in electrocoagulation group [83 .33% (30/35) vs 53 .33% (16/30)]( P<0 .05) , but the declining rate of ovarian reserve function was markedly lower than that in electrocoagulation group [16 . 67% (6/36) vs .46 .67% (14/30)]( P<0 .05) .The E2 and number of sinusoidal follicles in suture group were (198 .4 ± 24 .90)pmol/L and (7 .13 ± 2 .25) ,which were markedly higher than those in electrocoagulation group[(153 .40 ± 16 .8)pmo/L and (5 .8 ± 0 .9)]( P<0 .05) .FSH and FSH/LH in suture group were (10 .56 ± 4 .56)U/L and (2 .35 ± 1 .26) ,which were markedly lower than those in electrocoagulation group [(13 .72 ± 2 .81)U/L and (282 ± 0 .88)U/L]( P <0 .05) .[Conclusion] During laparoscopic ovarian conservation opera-tion ,correct microscopic suture hemostasis has smaller ovarian injury and can better reserve ovarian function than routine electrocoagulation .
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2014, Vol. 31 
