不同方式输卵管切除术对卵巢储备功能的影响

The influence on ovarian reserve function of salpingectomy via different surgical procedures

卵巢是女性体内重要性腺器官,主要作用是分泌女性激素及排出卵细胞。卵巢储备功能是指卵巢皮质内存留卵泡的数量和质量,反映女性的生育能力和生殖内分泌功能,受到多种因素影响。卵巢动脉及子宫动脉的卵巢分支共同营养卵巢,并在输卵管系膜区形成弓状血管系统。输卵管切除手术可损伤此区域,使卵巢血供减少,从而影响同侧卵巢的储备功能。笔者综述不同方式输卵管切除手术对卵巢储备功能影响的研究结果,以期指导临床,保护卵巢储备功能。

Ovary is an important gonadal organ for women,and the main function secretes female hormones and produces eggs. The ovarian reserve function refers to the remaining number and quality of ovarian follicles,reflecting women＇s potential reproduction and reproductive endocrine function. However,the ovarian reserve function is influenced by many factors. The ovarian blood supply comes from ovarian artery and ovarian branch of uterine artery,and these vessels form anastomose between the layers of the mesosalpinx. Salpingectomy would interrupt the anastomosis system,reduce the blood supply of the ovary,thereby affecting the reserve function of the ipsilateral ovary. The aim of the article is to summary and analyze the influence on ovarian reserve function of salpingectomy via different surgical procedures,and then guide clinical work and preserve ovarian reserve.