卵巢手术对卵巢储备功能的影响

目的 探讨卵巢手术及其手术方法与卵巢储备功能之间的关系。方法 80例卵巢手术患者的临床资料,根据手术方法的不同分为三组,记为实验组A 28例,实验组B 25例,实验组C 27例,A组采用腹腔镜卵巢单双极电凝止血配合冷水冲洗;B组同期剥离后行单纯缝合;C组为开腹进行卵巢手术。术后用酶联免疫吸附剂（ELISA）方法测定三组血清抗苗勒氏管激素（AMH）值,免疫放射法测定三组血清促卵泡生成激素（FSH）、血清雌二醇（E2）、促黄体生成激素（LH）值,采用经阴道超声测定卵巢面积,比较各值结果。结果 实验组A,血清AMH值为（0.57±0.21）、卵巢面积为（3.82±1.21）cm2均低于实验组B、实验组C,差异具有统计学意义（P〈0.05）,而血清FSH、E2、LH值差异无统计学意义。结论 对于行卵巢手术的患者,采用腹腔镜下进行电凝止血,对其卵巢储备功能存在一定影响,而血清AMH值反应卵巢储备功能更加敏感。

Influence of ovarian surgery on ovarian reserve function

Objective To investigate the relationship between ovarian surgery, surgical methods and ovarian reserve function. Methods Divided 80 cases of ovarian surgery into three groups according to different surgical methods, denoted as experimental group A 28 patients, experimental group B 25 patients, experimental group C 27 patients, group A treated with single and double-pole laparoscopic ovarian coagulation with cold water; same period peeling group B underwent simple suture; group C was open ovarian surgery. Determination of serum AMH postoperative values by ELISA, IRMA hair Determination of serum FSH, E2, LH values were determined by transvaginal ultrasound ovarian area, comparing the results of each value. Results Serum AMH and ovarian volume values of group A were lower than group B, group C, with statistical significance（P〈0.05）, whereas serum FSH, E2, LH were no significant difference. Conclusion For patients with ovarian surgery, performing laparoscopic coagulation has a certain effect on ovarian reserve, while serum AMH value of the reaction is more sensitive ovarian reserve.