ABSTRACT
Objective To explore the laparoscopic ovarian cystectomy in sequential hemostasis for female patients with ovarian function .Methods 76 cases of patients with unilateral or bilateral ovarian cyst of our hospital from September 2011 to September 2012 were selected ,who were divided into the observation group and control group in accordance with the order of treatment .The observation group was 38 patients,intraoperative hemostasis were used sequential processing on bleeding wounds;The control group was 38 patients,intraoperative were used bipolar electro-coagulation treatment on bleeding wound to stop bleeding .Two groups were given the same preoperative nursing inter-vention,the two groups were observed and compared preoperative serum estradiol , luteinizing hormone and follicle-stimulating hormone and other hormone levels .Operative time were compared,respectively,1,4 months after surgery for hormone levels monitored.Results The mean operative time was (58.0 ±8.1) min in the observation group,(61.0 ±5.4)min in the control group,the two groups showed no significant difference (t =1.32,P>0.05);the observation group were preoperative serum estrogen diol (E2)values(131.4 ±9.6)poml/L,luteinizing hormone(LH) was (5.8 ±1.7)IU/L,follicle-stimulating hormone(FSH)(7.8 ±1.9)IU/L,were E2 preoperative value(128.3 ± 10.1)poml/L,LH value(5.8 ±2.2) IU/L,FSH(6.0 ±1.3) IU/L,the two groups showed no significant difference (t=1.34,0.82,1.02,all P>0.05);groups of patients after one month E2,FSH levels were decreased compared with the preoperative,with significant difference(the observation group,t=4.31,4.10,the control group t=4.18,4.15,all P<0.05);4 months after E2 levels were lower than that of the control group (t=5.22,P<0.05),LF,FSH levels were significantly higher than the observation group (t=4.20,5.09,all P<0.05).Conclusion Laparoscopic ovarian cystectomy in sequential method can effectively maintain hemostatic levels of sex hormones, the normal physiological function of ovarian protection for the effective way to stop bleeding ,which is worthy of further clinical practice .