腹腔镜下不同手术方式对输卵管妊娠卵巢功能的影响

摘要

Objective To observe the inlfuence on different s laparoscopic procedures for tubal pregnancy on ovarian function. Methods 142 cases of tubal pregnancy women admitted according to the order were randomly divided into experimental group and control group, each group 71 cases. The experimental group was given laparoscopic fenestration removal surgery, the control group was given laparoscopic salpingectomy. The levels of reproductive hormones [follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E 2)] was compared in two groups, and ovarian volume, antral follicle count were detection by vaginal B. Results The operation time in the experimental group was was higher than the control group, the difference was statistically signiifcant (P<0.05);the blood loss, postoperative hospital stay and bloodβ-HCG normal time were not statistically signiifcant between the two groups.FSH, LH, E 2 in the experimental group after treatment increased not signiifcantly than before treatment, and increased more signiifcantly in the control group (P<0.05). Compared before treatment, 1,3,6 months after treatment ovarian volume, antral follicle count increased signiifcantly in the experimental group, but those in the control group decreased signiifcantly (P<0.05). Conclusion After laparoscopic salpingectomy levels of FSH, LH and E 2 has increased, ovarian volume has decreased in tubal pregnancy, while the number of follicles to reduce sinus more pronounced ovarian reserve does exist a certain impact.%目的：观察腹腔镜下不同手术方式对输卵管妊娠卵巢功能的影响。方法输卵管妊娠妇女142例按照入院顺序随机均分为实验组和对照组（n=71）。实验组采用腹腔镜下输卵管开窗妊娠物取出术，对照组采用腹腔镜下输卵管切除术。比较2组手术情况、生殖激素[卵泡刺激素(FSH)、黄体生成素(LH)和雌二醇(E 2)]水平，以及用阴道B超检测卵巢体积、窦卵泡数。结果实验组手术时间显著高于对照组，差异有统计学意义（P<0.05）；术中出血量、术后住院时间和血β-HCG恢复正常时间比较差异无统计学意义。治疗后实验组FSH、LH、E 2较治疗前升高不明显，对照组FSH、LH、E 2较治疗前升高明显（P<0.05）。实验组治疗后1、3、6个月较术前卵巢体积、窦卵泡数明显升高（P<0.05），对照组治疗后1、3、6个月较术前卵巢体积有减少，窦卵泡数减少明显（P<0.05）。结论腹腔镜下输卵管切除术治疗输卵管妊娠后FSH、LH和E 2水平升高，卵巢体积减少，窦卵泡数减少明显，卵巢储备功能确实存在一定的影响。