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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 effect of different treatment methods on ovarian reserve in patients with tubal pregnancy by hormone test and color Doppler ultrasonography. Methods According to the treatment, 156 cases of tubal pregnancy patients were divided into conservative treatment group (A group), laparoscopic tubal resection group (B group) and laparoscopic conservative surgery group (C group) Hormones that reflect ovarian reserve function and ultrasound. Results The postoperative anti-Mullerian hormone (AMH) and serum inhibin B (INHB) in group B were lower than those in group A and C (P <0.05). The number of AFC and ovarian volume in group B was lower than those in group A and C (P <0.05). Conclusions Laparoscopic tubal resection affects the ovarian reserve, and conservative and laparoscopic conservative surgery have no significant effect on the ovarian reserve.