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目的:分析输卵管妊娠腹腔镜下不同术式对于患者卵巢功能产生的影响。方法:在我院治疗的患者中选取2015年9月—2016年3月间输卵管妊娠患者70例,根据所有患者入院的编号进行平均分组,其中单号为对照组,双号为实验组,两组各为35例;对照组患者实施腹腔输卵管切开取胚术,实验组患者实施输卵管切除手术,并对两组患者手术前后的1、3、6个月的基础卵泡刺激素(FSH)、雌二醇(E_2)水平、抗苗勒氏管激素(AMH)、黄体生成激素(LH)以及阴道B超测定双侧卵巢流血等情况进行对比。结果:两组患者手术前的AMH,P值>0.05,无统计学意义,手术后实验组患者的最大收缩期血流、收缩末期血流要低于对照组患者(P>0.05);两组基础FSH、LH、B_2在手术后的1、3、6个月的比较以及搏动指数、阻力指数非手术侧组并无统计学意义(P>0.05)。结论:腹腔镜下输卵管切除能够提高减少患者侧卵巢血供,但是会对卵巢有一定的影响,对于要求保留生育功能的输卵管患者妊娠患者手术中尽量遵守患者的意见。
OBJECTIVE: To analyze the effects of different surgical procedures of laparoscopic tubal pregnancy on ovarian function in patients with tubal pregnancy. Methods: Seventy patients with tubal pregnancy were selected from September 2015 to March 2016 in our hospital for treatment. According to the numbers of all patients admitted to hospital, the patients were divided into groups according to the number of admission. The single number was control group and the double number was experimental group. The control group received abdominal tubal incision and embryo implantation. The patients in the experimental group underwent tubal resection. The levels of basic follicle-stimulating hormone (FSH) Estradiol (E2) level, anti-Mullerian hormone (AMH), luteinizing hormone (LH) and vaginal B-ultrasound were measured for bilateral ovarian bleeding and so on. Results: There was no significant difference in AMH before operation between the two groups (P> 0.05). The maximal systolic and end systolic blood flow in the experimental group after operation were lower than those in the control group (P> 0.05) The baseline FSH, LH and B_2 at 1, 3, and 6 months after operation were not statistically significant (P> 0.05). Conclusions: Laparoscopic tubal resection can improve the ovarian blood supply in patients with ovarian cancer, but it will affect the ovary to a certain extent. Patients with tubal pregnancy who require reproductive function should observe the patients’ opinions as much as possible during operation.