摘要
目的 经阴道彩色多普勒超声评估不同治疗方式对输卵管妊娠患者卵巢储备功能的影响.方法 根据治疗方法,将124例输卵管妊娠患者分为三组：腹腔镜下输卵管切除组（A组,45例）、腹腔镜下保守手术组（B组,36例）、甲氨蝶呤药物组（C组,43例）.应用经阴道彩色多普勒超声对各组患者治疗后1、3、6个月月经第3～4 d卵巢的窦卵泡数、卵巢体积、卵巢动脉收缩期峰值血流速度（PSV）、阻力指数（RI）、搏动指数（PI）等进行测量.结果 A组术后患侧窦卵泡数、卵巢体积、卵巢动脉收缩期峰值血流速度（PSV）均低于健侧（P＜0.05）;A组术后患侧卵巢RI、PI均高于健侧（P＜0.05）;A组患侧窦卵泡数、卵巢体积、PSV均低于B组、C组（P＜0.001）.B组、C组患侧与健侧比较差异无统计学意义（P＞0.05）.结论 输卵管切除术影响患侧卵巢储备功能,药物和保守手术治疗对卵巢的储备功能无明显影响.
Objective To investigate the influence of different treatments for tubal pregnancy on ovarian reserve function by transvaginal color Doppler ultrasonography.Methods One hundred and twentyfour cases of tubal pregnancy were divided into three groups according to the treatment,group A with 45 cases under the salpingectomy,group B with 36 cases under the laparoscopic conservative surgery for retaining oviduct,group C with 43 cases taken by Methotrexate.On the day of a spontaneous cycle,all the cases＇ antral follicles,the ovarian volume,peak systolic velocity （PSV）,resistance index （RI）,pulsatility index（PI） were measured by transvaginal color Doppler ultrasound.Results The antral follicles,varian volume and PSV of diseased side in group A were lower than those of the other side（P 〈0.05）.The antral follicles,varian volume and PSV of diseased side in group A were lower than those of other groups （P 〈0.001）.The PI and RI of diseased side in group A were higher than those of the unaffected side.The PI and RI of two sides in group B and C were not significantly different（P 〉0.05）.Conclusions Salpingectomy affects the ovarian reserve function.Methotrexate and conservative surgery could not reduce the ovarion reserve.
出处
《中华超声影像学杂志》
CSCD
北大核心
2015年第2期136-139,共4页
Chinese Journal of Ultrasonography
基金
河北省科技计划项目（132777169）
