腹腔镜下子宫动脉阻断术后血清学相关指标的变化

目的探讨腹腔镜下子宫动脉阻断术治疗子宫腺肌病术后血清CA125水平、EMAb阳性率及性激素水平的变化。方法对26例子宫腺肌病患者行腹腔镜下子宫动脉阻断术治疗，测定手术前后血癌抗原（CA125）、抗子宫内膜抗体（EMAb）及性激素水平。结果术后患者血清CA125水平及EMAb阳性率均较术前显著降低（P〈0．01），手术前后促卵泡生成素（FSH）、促黄体生成素（LH）和雌二醇（E2）差异无统计学意义（P〉0．05）；所有患者未出现围绝经期症状。结论该阻断术可降低血清CA125水平及EMAb阳性率、对性激素影响不大。

Changes of the levels of serum CA125, EMAb and sexual hormones before and after laparoscopic monopole electromyolysis in the treatment of adenomyosis

Objective To investigate the changes of the levels of serum CA125, EMAb and sexual hormones before and after laparoscopic uterine arteries blockage in the treatment of adenomyosis. Methods The operations of laparoscopic uterine arteries blockage were performed in 26 cases of adenomyosis.The levels of serum CA125, EMAb and sexual hormones were detected before and after the therapy. Results After the therapy, the levels of serum CA125, MAb decreased significantly, P<0.01. There was no statistical difference between the measurements of FSH ,LH, E2 before and after the surgery, P>0.05. No menopause changes appeared. Conclusions Laparoscopic monopole electromyolysis would decrease the levels of serum CA125, EMAb, but not affect the serum levels of FSH, LH and E2.