标题:腹腔镜下输卵管积水不同手术方式对卵巢储备功能的影响
作者:吕旺桂,郭 兰
(郴州市第一人民医院南院妇瘤科,湖南 郴州 423000)
卷次:
2013年24卷13期
【摘要】 目的 探讨腹腔镜下保留及切除输卵管后对卵巢储备功能的影响。方法 将2010年5月至2012
年5月,因输卵管积水在本院行腹腔镜手术处理的88例患者,按手术方式分为三组。A组(n= 30)保留双侧输卵
管,行输卵管近端结扎远端造口术,B组(n=28)行单侧输卵管切除及对侧输卵管近端结扎及伞端造口术,C组(n= 30)
行双侧输卵管切除术。观察患者术后1个月、3个月的血清雌二醇(E2)、卵泡刺激素(FSH)、基础抑制素(INH)水平
的变化,以及术后月经恢复情况。结果 三组患者手术前、后血清E2、INH水平及窦状卵泡数比较,差异均无统
计学意义(P>0.05)。三组患者组间比较差异亦无统计学意义(P>0.05)。A、B组患者手术前、后血清FSH差异无统
计学意义。C组术后第一次月经周期FSH升高(P<0.05),但术后第三次月经周期降为正常,与术前比较差异无统
计学意义(P>0.05)。结论 腹腔镜下输卵管积水不同的手术方式对卵巢储备功能无明显影响。
【关键词】 输卵管积水;腹腔镜;卵巢储备功能;性激素
【中图分类号】 R713.5 【文献标识码】 A 【文章编号】 1003—6350(2013)13—1925—03
Effects of laparoscopic management for hydrosalpinx on ovarian reserve.
LV Wang-gui, GUO Lan. Department of
Gynecology and Obstetrics, the First People's Hospital of Chenzhou, Chenzhou 423000, Hunan, CHINA
【Abstract】 Objective To evaluate the effects of different laparoscopic procedures for hydrosalpinx on ovari-
an reserve. Methods Eighty-eight infertile women with hydrosalpinx undergoing laparoscopic operation before in vi-
tro fertilization-embryo transfer (IVF-ET) from May 2010 to May 2012 were divided into three groups, according to
the different laparoscopic managements. Group A (n=30) were treated with proximal tubal blocking and distal tubal
salpingostomy. Group B (n=28) were treated with one-sided salpingectomy, one-sided proximal tubal blocking and
distal tubal salpingostomy. Group C (n=30) were treated with bilateral salpingectomy. The basal level of estradiol
(E2), follicle stimulating hormone (FSH), inhibin (INH) and the count of antral follicle (Fo) were observed before
the operation and at the first, third menstrual cycle after the operation. And the menstruation recovery was evaluated.
Results There was no statistically significant difference before and after the operation about the level of E2, INH
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