局麻单孔腹腔镜双极电凝与经腹近端抽芯包埋两种输卵管绝育术对生殖激素近期影响的对比观察  

A comparative study of the impact on the reproductive hormones in the near future after operation of tubal sterilization by single port laparoscopic bipolar coagulation or by core pulling proximal embedding method

作　　者：朱江 辛丽梅 陈萍 唐思诗 杨元 梁睿熙 

机构地区：[1]贵州省人口和计划生育科学研究技术指导所,贵阳550004

出　　处：《中国计划生育学杂志》2016年第7期461-463,共3页Chinese Journal of Family Planning

基　　金：贵州省科技计划(黔科合SY字[2014]3027号)

摘　　要：目的：比较观察局麻单孔腹腔镜双极电凝输卵管绝育术与经腹近端抽芯包埋输卵管绝育术对卵巢功能的影响。方法：在贵州省内14个县随机抽取2014年10月~2015年10月行上述两种输卵管绝育术妇女各100例,测定卵巢基础激素（FSH、LH和E2）。结果：共133例研究对象进入观察,其中腹腔镜输卵管绝育术组82名,年龄28.84±4.02岁;开腹输卵管绝育术组51名,年龄27.61±4.20岁。两组术后1个月的卵巢基础性激素平均水平无统计学改变;术后1个月基础FSH≥10U/L、基础FSH/LH升高〉2的比例开腹组明显高于腹腔镜组。结论：腹腔镜输卵管绝育术近期对卵巢功能的影响小于开腹输卵管绝育术。Objective：To compare the impact on ovarian function after surgery of tubal sterilization by single port laparoscopic bipolar coagulation（SPLBC）or by core pulling proximal embedding（CPPE）.Method：From October 2014 to October 2015,100 patients with tubal sterilization by SPLBC and 100 patients with tubal sterilization by CPPE were randomly selected from 14 counties of Guizhou province.Basal hormone of ovary（FSH、LH and E2）of the patients were detected.Result：The data of 133 patients were analyzed,which included 82patients（average age 28.84±4.02 years old）with tubal sterilization by SPLBC and 51patients（average age 27.61±4.20 years old）with tubal sterilization by CPPE.1month after operation,the ovarian hormone levels of patients in the two groups had no significant change.The ovarian function hadn＇t been significantly affected by tubal sterilization.But in CPPE group,the proportion of patients whose FSH were more than 10mlU/ml and the proportion of FSH/LH increased more than 2were significantly higher than those of patients in SPLBC group.Conclusion：The impact on ovarian function of tubal sterilization by SPLBC is significantly less than that of tubal sterilization by CPPE in the near future after operation.

关 键 词：局麻单孔腹腔镜双极电凝输卵管绝育术 经腹近端抽芯包埋输卵管绝育术 生殖激素 近期影响 

分 类 号：R713.54[医药卫生—妇产科学]