摘要
目的利用激素检测及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156例输卵管妊娠患者分为药物保守治疗组(A组)、腹腔镜下输卵管切除组(B组)和腹腔镜下保守手术组(C组),检测对比患者术后能够反映卵巢储备功能的激素水平及超声指标。结果 B组术后抗苗勒管激素(AMH)、血清抑制素B(INHB)低于A组和C组(P<0.05)。B组术后患侧窦卵泡数(AFC)及卵巢体积低于A组和C组患侧(P<0.05)。结论腹腔镜下输卵管切除术影响患者卵巢储备功能,药物保守和腹腔镜下保守手术治疗对卵巢的储备功能均无明显影响。
Objective To evaluate the effects of different treatment methods on ovarian reserve function of patients with tubal pregnancy by hormone detection and color Doppler uhrasonography. Methods According to the treatment methods, 156 patients with tubal pregnancy were divided into group A （drug conservative treatment） , group B （laparoscopic salpingectomy ） , and group C （laparoscopic conservative surgery） ; the levels of hormones and ultrasonic indexes reflecting ovarian reserve function of patients after surgery were detected and com- pared. Results The levels of serum anti-mtillerian hormone （AMH） and inhibin B （INHB） after surgery in group B were statistically significantly lower than those in group A and group C （ P〈0. 05 ） . The number of antral follicles of affected side and ovarian volume ＇after surgery in group B were statistically significantly lower than those in group A and group C （ P〈0. 05 ） . Conclusion Laparoscopic salpingectomy affects ovarian reserve function of patients with tubal pregnancy, drug conservative treatment and laparoseopic conservative surgery have no significant impact on ovarian reserve function.
出处
《中国妇幼保健》
CAS
2016年第15期3114-3116,共3页
Maternal and Child Health Care of China
基金
河北省科技支撑项目(132777169)
关键词
输卵管妊娠
卵巢储备功能
卵巢激素
窦卵泡数
Tubal pregnancy
Ovarian reserve function
Ovarian hormone
Number of antral follicle
