腹腔镜下输卵管手术方式对卵巢储备功能的影响  

Influence of laparoscopic tubal surgery on ovarian reserve function

作　　者：毛亚娴 陈秀萍 彭李珍 蔡叶萍 李荣淘 梁晓雪 郑丽 林威上 MAO Yaxian;CHEN Xiuping;PENG Lizhen;CAI Yeping;LI Rongtao;LIANG Xiaoxue;ZHENG Li;LIN Weishang(Department of Gynecology,Maternal and Child Health Hospital of Duanzhou District of Zhaoqing City,Guangdong Province,Zhaoqing,526040,China)

机构地区：[1]广东省肇庆市端州区妇幼保健院妇科,广东肇庆526040

出　　处：《中国当代医药》2022年第33期43-45,49,共4页China Modern Medicine

基　　金：广东省肇庆市科技创新指导类项目(201904030917)。

摘　　要：目的研究腹腔镜下输卵管手术方式对卵巢储备功能的影响。方法选取2019年9月至2021年12月肇庆市端州区妇幼保健院妇科收治的80例输卵管包块患者为研究对象,依据随机数字表法将其分为对照组和观察组,每组各40例。对照组患者采用腹腔镜下传统输卵管切除术治疗,观察组采用腹腔镜下输卵管抽芯切除术治疗。比较两组患者的治疗总有效率、手术情况、术后情况以及卵巢功能[卵泡刺激素(FSH)、抗缪勒氏管激素(AMH)、雌二醇(E_(2))、黄体生成素(LH)水平和窦卵泡数(AFC)]。结果观察组治疗后的总有效率高于对照组,差异有统计学意义(P<0.05);观察组患者的手术时间、术后住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组患者术后的肠胃蠕动时间和排气时间均短于对照组,差异有统计学意义(P<0.05);手术前,两组患者的FSH、E_(2)、LH、AFC、AMH水平比较,差异无统计学意义(P>0.05);观察组患者手术后的FSH、LH水平高于对照组,E_(2)、AFC、AMH水平均低于对照组,差异有统计学意义(P<0.05)。结论与传统腹腔镜下输卵管切除手术相比,在输卵管包块患者中采用腹腔镜下输卵管抽芯切除术对卵巢储备功能的损伤较小。Objective To study the influence of laparoscopic tubal surgery on ovarian reserve function.Methods A total of 80 patients with tubal mass admitted to Gynaecological Department of Maternal and Child Health Hospital of Duanzhou District of Zhaoqing City from September 2019 to December 2021 were selected as the research objects.They were divided into the control group and the observation group according to random number table method,with 40 patients in each group.The control group was treated with laparoscopic traditional salpingectomy,and the observation group was treated with laparoscopic core-pulling salpingectomy.The total effective rate of treatment,surgical conditions,postoperative conditions and ovarian function(follicle-stimulating hormone[FSH],anti-mullerian hormone[AMH],estradiol[E_(2)],luteinizing hormone[LH],antral follicle count[AFC])were compared between the two groups.Results The total effective rate of the observation group after treatment was higher than that of the control group,with statistically significant difference(P<0.05).The operation time,and postoperative hospital stay of patients in the observation group were shorter than those in the control group,intraoperative blood loss in the observation group was less than that in the control group,and the differences were statistically significant(P<0.05).The peristalsis time and exhaust time of gastrointestinal tract in the observation group were shorter than those in the control group and the differences were statistically significant(P<0.05).Before operation,there were no significant difference in the levels of FSH,E_(2),LH,AFC and AMH between the two groups(P>0.05).After operation,the levels of FSH and LH in the observation group were higher than those in the control group,the levels of E_(2),AFC and AMH in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with traditional laparoscopic salpingectomy in patients with tubal mass,laparoscopic core-pulling

关 键 词：腹腔镜 输卵管手术 卵巢储备 影响 

分 类 号：R711.76[医药卫生—妇产科学]