Influence of Various Hemostatic Methods on Ovarian Reserve Function in Women with Ovarian Endometriotic Cyst Treated by Laparoscopic Cystectomy: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

 LIJing ¹ , LVJuan ¹ , WANGYu-Juan ¹ ,  WANGZan-hong ²

1. Shanxi Medical University, Taiyuan 030001, China;
2. Department of Gynecology, Shanxi Academy of Medical Sciences, Shanxi Dayi Hospital, Taiyuan 030032, China;

Corresponding author：

WANGZan-hong, Email: wangzanhong@126.com

Keywords：

Laparoscopic surgery; Ovarian endometriotic cyst; Hemostasis; Ovarian reserve function; Systematic review; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.20150139

Video：

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Objective To systematically review the influence on ovarian reserve function by different hemostatic methods during laparoscopic cystectomy in treatment of ovarian endometrioma (OE). Methods Databases including The Cochrane Library, PubMed, EMbase, CNKI, CBM and WanFang Data were electronically searched, to collect relevant randomized controlled trials (RCTs) about laparoscopic electro coagulation vs. microscopically suture for OE from 1990 to Mar, 2014. Meanwhile, references of included studies were also retrieved manually. Two reviewers independently screened literature according to the inclusion and exclusion criteria, extracted data and assessed the risk of bias of included studies. Then RevMan 5.2 software was used for meta-analysis. Results A total of 16 RCTs involving 1 236 patients were finally included. The results of meta-analysis showed that the luteinizing hormone (LH) levels after 1 month, 2 months, 6 months and 12 months and estradiol (E₂) levels after 2 months, 6 months had no significant differences between the two groups and the E₂ level after 12 month of the suture group was significantly lower than that of the electro coagulation group. The levels of follicle stimulating hormone (FSH), LH, E₂, antral follicle count (AFC), mean ovarian stromal peak systolic blood flow velocity (PSV) and anti-Mullerian hormone (AMH) in the suture group were significantly superior to those in the electro coagulation group at other follow-up time. Conclusion Current evidence suggests that in treatment of ovarian endometriotic cyst by laparoscopic cystectomy, compared with electro coagulation hemostasis, suture hemostasis has less influence on ovarian reserve function. Due to limited quality and quantity of included studies, more high quality studies are needed to verify the above conclusion.

Citation： LIJing, LVJuan, WANGYu-Juan, WANGZan-hong. Influence of Various Hemostatic Methods on Ovarian Reserve Function in Women with Ovarian Endometriotic Cyst Treated by Laparoscopic Cystectomy: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2015, 15(7): 833-839. doi: 10.7507/1672-2531.20150139 Copy

1.	Pouly JL,Canis M,Velemir L.Endometriosis related infertility.Gynecol Obstet Biol Reprod,2007,36(2):151-161.
2.	冷金华,朗景和,赵学英.盆腔子宫内膜异位症病灶分布特点及其腹腔镜诊断准确性的评价.中华妇产科杂志,2006,41(2):111-113.
3.	Abu HH.Gonadotrophin-releasing hormone analogues and endometriosis:current strategies and new insights.Gynecological Endocrinol,2012,8(4):314-321.
4.	梁军,曹缵孙,陈晓燕.卵巢对GnH反应性降低的预测与助孕.中国计划生育学杂志,2000,8(8):380-384.
5.	Candiani M,Barbieri M,Bttani B,et al.Ovarian recovery after laparoscopic enucleation of ovariancysts:insights from echographic short-term postsurgical follow-up.J Minim Invasive Gynecol,2005,12(5):409-414.
6.	刘玉娟,周洪贵,谌伦华,等.腹腔镜下卵巢囊肿剥除术后创面电凝和缝合止血对残留卵巢储备功能的影响.中国实用妇科与产科杂志,2013,29(1):46-48.
7.	吴春玲.腹腔镜下卵巢子宫内膜异位囊肿剥除术不同止血方法对卵巢储备功能的影响.中国妇幼保健,2012,27(29):4641-4643.
8.	张军,周应芳,李斌,等.腹腔镜下卵巢子宫内膜异位囊肿剥除术不同止血方法对卵巢储备功能的影响.中华妇产科杂志,2009,44(8):583-587.
9.	长忠,韦德英,王飞,等.腹腔镜卵巢内异症囊肿剥除术中不同止血方法对卵巢储备功能的影响.中华妇产科杂志,2013,48(1):11-15.
10.	梁军,张顺仓,杨继,等.腹腔镜下卵巢巧克力囊肿剥除术中两种止血方法对卵巢功能的影响.中国实用妇科与产科杂志,2008,24(8):617-619.
11.	周婷,邹放军.腹腔镜卵巢内膜异位症囊肿剥除术中不同止血方法对卵巢储备功能的影响及术后疗效分析.中国现代手术学杂志,2013,17(5):382-385.
12.	王丽娜,崔月梅,梁珊.腹腔镜下子宫内膜异位囊肿剥除术中采用缝合止血和单极电凝止血对卵巢功能的影响.河北医药,2010,32(8):929-930.
13.	周英惠,吴媛媛.腹腔镜卵巢巧克力囊肿剥除术创面不同止血法对卵巢储备功能的影响.中国妇幼保健,2011,26(21):3318-3320.
14.	朱彩红,孟祥娟.腹腔镜下卵巢巧克力囊肿剥除术中止血法对卵巢功能的影响.医学影像学杂志,2014,24(1):152-154.
15.	张科,郭社珂.腹腔镜下卵巢子宫内膜异位症囊肿剥除术中两种止血方式对卵巢储备功能的影响.中国社区医师,2013,15(4):51.
16.	冯兰青,黄惠英,王明波,等.两种止血法对卵巢子宫内膜异位囊肿剥除术后卵巢储备功能的影响.分子诊断与治疗杂志,2013,5(5):324-327.
17.	潘晓平.腹腔镜下卵巢囊肿剥除术不同止血方法对卵巢功能影响的对照研究.中国医师进修杂志,2012,35(3):25-27.
18.	刘继荣.腹腔镜双侧卵巢囊肿剥除术创面不同止血法对年轻患者性激素水平的早期影响.中华危重症医学杂志,2012,5(6):396-399.
19.	杨冰,何丽霞,佘远萍,等.腹腔镜卵巢内异症囊肿剥除术囊内多点缝合止血法的应用价值.华夏医学,2013,26(3):446-450.
20.	马玲璇.腹腔镜下电凝和缝合止血对残留卵巢储备功能影响的对比研究.医学信息,2013,26(11):547.
21.	李小芳,张丽雅,朱汉红.腹腔镜双侧卵巢子宫内膜异位囊肿剥除术中两种止血方式对卵巢功能的影响.广东医学,2011,32(23):3115-3117.
22.	Whiteside JL,Keup HL.Laparoscopic management of the ovarian mass:a practical approach.Clin Obstet Gynecol,2009,52(3):327-334.
23.	de Ziegler D,Borghese B,Chapron C.Endometriosis and infertility:pathophysiology and management.Lancet,2010,3769(9742):730-738.
24.	郎景和.腹腔镜手术的热点问题讨论.现代妇产科进展,2004,13(12):81-85.
25.	Esinler I,Bozdag G,Aybar F,et al.Outcome of in vitro fertilization/intracytoplasmic sperm injection after laporoscopic cystectomy for endometriomas.Fertil Steril,2006,85(6):1730-1735.
26.	李传行,王存川,徐国良,等.腹腔镜手术超声止血刀、电刀封闭血管的对比研究.中国内镜杂志,2001,7(6):42-44.
27.	王扬,卞美璐,梁静.腹腔镜下卵巢囊肿剥除术后卵巢创面出血的处理.中国内镜杂志,2002,8(7):39-41.
28.	Klinkert ER,Broekmam FJ,Looman CW,et al.The antral follicle count is a better marker than basal follicle-stimulating hormone for the selection of older patients with acceptable pregnancy prospects after in vitm fertilization.Fertil Steril,2005,83(3):811-814.
29.	Maneschi F,Marasa L,Incandela S,et al.Ovarian cortex surrounding benign neoplasms:a histologic study.Am J Obstet Gynecol,1993,169(2 Pt 1):388-393.
30.	Hachisuga T,Kawarabayashi T.Histopathological analysis of laparoscopically treated ovarian endometriotic cysts with special reference to loss of follicles.Hum Peprod,2002,17(2):432-435.

1. Pouly JL,Canis M,Velemir L.Endometriosis related infertility.Gynecol Obstet Biol Reprod,2007,36(2):151-161.
2. 冷金华,朗景和,赵学英.盆腔子宫内膜异位症病灶分布特点及其腹腔镜诊断准确性的评价.中华妇产科杂志,2006,41(2):111-113.
3. Abu HH.Gonadotrophin-releasing hormone analogues and endometriosis:current strategies and new insights.Gynecological Endocrinol,2012,8(4):314-321.
4. 梁军,曹缵孙,陈晓燕.卵巢对GnH反应性降低的预测与助孕.中国计划生育学杂志,2000,8(8):380-384.
5. Candiani M,Barbieri M,Bttani B,et al.Ovarian recovery after laparoscopic enucleation of ovariancysts:insights from echographic short-term postsurgical follow-up.J Minim Invasive Gynecol,2005,12(5):409-414.
6. 刘玉娟,周洪贵,谌伦华,等.腹腔镜下卵巢囊肿剥除术后创面电凝和缝合止血对残留卵巢储备功能的影响.中国实用妇科与产科杂志,2013,29(1):46-48.
7. 吴春玲.腹腔镜下卵巢子宫内膜异位囊肿剥除术不同止血方法对卵巢储备功能的影响.中国妇幼保健,2012,27(29):4641-4643.
8. 张军,周应芳,李斌,等.腹腔镜下卵巢子宫内膜异位囊肿剥除术不同止血方法对卵巢储备功能的影响.中华妇产科杂志,2009,44(8):583-587.
9. 长忠,韦德英,王飞,等.腹腔镜卵巢内异症囊肿剥除术中不同止血方法对卵巢储备功能的影响.中华妇产科杂志,2013,48(1):11-15.
10. 梁军,张顺仓,杨继,等.腹腔镜下卵巢巧克力囊肿剥除术中两种止血方法对卵巢功能的影响.中国实用妇科与产科杂志,2008,24(8):617-619.
11. 周婷,邹放军.腹腔镜卵巢内膜异位症囊肿剥除术中不同止血方法对卵巢储备功能的影响及术后疗效分析.中国现代手术学杂志,2013,17(5):382-385.
12. 王丽娜,崔月梅,梁珊.腹腔镜下子宫内膜异位囊肿剥除术中采用缝合止血和单极电凝止血对卵巢功能的影响.河北医药,2010,32(8):929-930.
13. 周英惠,吴媛媛.腹腔镜卵巢巧克力囊肿剥除术创面不同止血法对卵巢储备功能的影响.中国妇幼保健,2011,26(21):3318-3320.
14. 朱彩红,孟祥娟.腹腔镜下卵巢巧克力囊肿剥除术中止血法对卵巢功能的影响.医学影像学杂志,2014,24(1):152-154.
15. 张科,郭社珂.腹腔镜下卵巢子宫内膜异位症囊肿剥除术中两种止血方式对卵巢储备功能的影响.中国社区医师,2013,15(4):51.
16. 冯兰青,黄惠英,王明波,等.两种止血法对卵巢子宫内膜异位囊肿剥除术后卵巢储备功能的影响.分子诊断与治疗杂志,2013,5(5):324-327.
17. 潘晓平.腹腔镜下卵巢囊肿剥除术不同止血方法对卵巢功能影响的对照研究.中国医师进修杂志,2012,35(3):25-27.
18. 刘继荣.腹腔镜双侧卵巢囊肿剥除术创面不同止血法对年轻患者性激素水平的早期影响.中华危重症医学杂志,2012,5(6):396-399.
19. 杨冰,何丽霞,佘远萍,等.腹腔镜卵巢内异症囊肿剥除术囊内多点缝合止血法的应用价值.华夏医学,2013,26(3):446-450.
20. 马玲璇.腹腔镜下电凝和缝合止血对残留卵巢储备功能影响的对比研究.医学信息,2013,26(11):547.
21. 李小芳,张丽雅,朱汉红.腹腔镜双侧卵巢子宫内膜异位囊肿剥除术中两种止血方式对卵巢功能的影响.广东医学,2011,32(23):3115-3117.
22. Whiteside JL,Keup HL.Laparoscopic management of the ovarian mass:a practical approach.Clin Obstet Gynecol,2009,52(3):327-334.
23. de Ziegler D,Borghese B,Chapron C.Endometriosis and infertility:pathophysiology and management.Lancet,2010,3769(9742):730-738.
24. 郎景和.腹腔镜手术的热点问题讨论.现代妇产科进展,2004,13(12):81-85.
25. Esinler I,Bozdag G,Aybar F,et al.Outcome of in vitro fertilization/intracytoplasmic sperm injection after laporoscopic cystectomy for endometriomas.Fertil Steril,2006,85(6):1730-1735.
26. 李传行,王存川,徐国良,等.腹腔镜手术超声止血刀、电刀封闭血管的对比研究.中国内镜杂志,2001,7(6):42-44.
27. 王扬,卞美璐,梁静.腹腔镜下卵巢囊肿剥除术后卵巢创面出血的处理.中国内镜杂志,2002,8(7):39-41.
28. Klinkert ER,Broekmam FJ,Looman CW,et al.The antral follicle count is a better marker than basal follicle-stimulating hormone for the selection of older patients with acceptable pregnancy prospects after in vitm fertilization.Fertil Steril,2005,83(3):811-814.
29. Maneschi F,Marasa L,Incandela S,et al.Ovarian cortex surrounding benign neoplasms:a histologic study.Am J Obstet Gynecol,1993,169(2 Pt 1):388-393.
30. Hachisuga T,Kawarabayashi T.Histopathological analysis of laparoscopically treated ovarian endometriotic cysts with special reference to loss of follicles.Hum Peprod,2002,17(2):432-435.

Chinese Journal of Evidence-Based Medicine

Influence of Various Hemostatic Methods on Ovarian Reserve Function in Women with Ovarian Endometriotic Cyst Treated by Laparoscopic Cystectomy: A Systematic Review

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