摘要
目的:探讨腹腔镜下输卵管手术方式对卵巢储备功能的影响。方法:126例输卵管积水患者按手术方案分为A、B、C三组:A组33例患者采用输卵管切除术;B组53例患者采用输卵管造口术;C组40例患者采用输卵管结扎+造口术。监测各组术前及术后1月、1年血清抗苗勒氏管激素(AMH)及阴道B超检查测定窦卵泡数(AFC)结果,比较手术方案对卵巢储备功能的影响。结果:⑴术后指标比较:1A组:术后1月、1年的AMH值比B组、C组明显降低(P<0.05);2A组与B、C组比较:术后1月AFC减少(P<0.05),术后1年AFC无明显差异(P>0.05)。⑵手术前后比较:术后1月A组AFC较术前明显减少,术后1年AMH水平B组、C组较术前明显降低(P<0.05)。结论:采用腹腔镜输卵管切除术治疗会影响输卵管积水患者近期卵巢储备功能,术后12个月卵巢功能可部分恢复至术前水平。
[ABSTRACT]Objective:To investigate the effect of laparoscopic tubal surgery on ovarian reserve function. Methods: 126 cases of fallopian tube with hydronephrosis according to the operation scheme is divided into A, B, C three groups:A group of 33 patients with tubal resection; B group of 53 cases of patients with tubal ostomy; C group of 40 patients use fallopian duct ligation + ostomy. Before and after the operation, 1 month and 1 years of serum anti - vaccine AMH and transvaginal B ultrasound were measured to determine the results of sinus follicle count (AFC), and to compare the effect of surgical procedures on ovarian reserve function. Results: The postoperative indicators: group A: after 1 month and 1 year of AMH value than that in group B and group C was significantly lower(P<0.05);II group A and B, C group comparison:postoperative 1 month AFC reduced(P<0.05). Postoperative 1 year AFC no significant difference(P>0.05). Before and after the surgery, postoperative 1 month group a AFC compared with the preoperative significantly reduced, postoperative 1 year AMH level in group B and group C, compared with the preoperative decreased significantly(P<0.05). Conclusion: The use of laparoscopic tubal resection in the treatment of patients with tubal water will affect the recent ovarian reserve function, 12 months after surgery, ovarian function can be partially restored to preoperative level.
出处
《中国医药导刊》
2016年第3期231-232,共2页
Chinese Journal of Medicinal Guide
