摘要
目的:探讨腹腔镜处理输卵管积水的不同方式对卵巢储备功能的影响。方法:输卵管积水行腹腔镜手术患者95例,按手术方式分为3组:A组(n=32)行输卵管单纯造口术,B组(n=32)行输卵管近端结扎远端造口术,C组(n=31)行双侧输卵管切除术。观察患者手术前及术后1个月、3个月的血清雌二醇(E2)、促卵泡生成素(FSH)、促黄体生成素(LH)、抗苗勒管激素(AMH)水平及窦状卵泡数(AFC)的变化。结果:术前3组患者卵巢储备功能指标差异无统计学意义(P>0.05)。术后1个月3组E2、FSH、FSH/LH、AMH水平以及AFC差异均有统计学意义(P<0.05),术后3个月3组上述指标差异无统计学意义(P>0.05)。结论:腹腔镜下双侧输卵管切除术与卵巢储备功能一过性降低相关,但3种手术方式对卵巢远期储备功能的改变无相关性。
Objective:To explore the effect of different laparoscopic procedures for hydrosalpinx on ovarian reserve function. Methods:95 patients of hydrosalpinx on laparoscopic procedures were randomly divided into three groups acording to the mode of operation. Group A(n=32)were treated with tubal colostomy surgery alone,group B(n=32)were treated with porxiam1 tubal blocking and distal tubal salpingostomy,group C(n=31)were treated with laparoscopic bilateral salpingectomy for hydrosalpinx. The levels of serum estradiol(E2),follicle-stimulating hormone(FSH),luteinizing hormone(LH),anti-mullerian hormone(AMH)and sinus follicle number of patients with preoperative and postoperative 1 month,3 months were obtained. Results:Before surgery,there was no significant difference in ovarian reserve function between the three groups(P 0.05). One month after laparoscopic surgery, the level of E2,FSH,FSH/LH,AMH and the number of AFC in three groups were significantly different(P 0.05). Three months later,the difference was not statistically significant(P 0.05) in the three groups. Conclusion:Laparoscopic bilateral salpingectomy is related to transitional decrease of ovarian reserve function. The three modes of surgery are not ralated to long-term alteration of ovarian reserve function.
出处
《华夏医学》
CAS
2016年第2期27-30,共4页
Acta Medicinae Sinica
关键词
腹腔镜
输卵管积水
卵巢储备功能
laparoscopic
hydrosalpinx
ovarian reserve function