| 常喜梅 李国芸 赵孟军 杨颖 陈娟 李辞妹.不同子宫手术方案对生育期妇女卵巢功能的影响[J].,2016,16(22):4322-4324 |
| 不同子宫手术方案对生育期妇女卵巢功能的影响 |
| Effect of Different Surgery Schemes on Ovarian Function of Women inReproductive Stage |
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| DOI： |
| 中文关键词: 子宫手术 生育期妇女 卵巢功能 影响 |
| 英文关键词: Uterine surgery Women in reproductive stage Ovarian function Influence |
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| 中文摘要: |
| 目的：研究不同子宫手术方案对生育期妇女卵巢功能的影响。方法：随机选取自2014年1 月至2015 年4 月于我院进行手术
治疗的200 例生育期妇女作为研究对象。针对所有患者在术前1d 及术后6 个月分别进行静脉采血5 mL，比较患者手术前后促卵
泡激素（FSH）及雌二醇（E2）水平，不同年龄与手术方案患者手术前后血清抗苗勒氏管激素(AMH）的水平。结果：术后患者的FSH
及E2 水平与术前比较，差异无统计学意义（P＞0.05）。＞ 40 岁者手术后的血清AMH水平显著低于术前，差异有统计学意义（P＜
0.05）。在手术方式中，子宫切除术（子宫全切及广泛性子宫切除）后患者血清AMH 显著低于术前的水平，差异有统计学意义（P＜
0.05）。在手术途径中，腹腔镜辅助子宫切除术后患者血清AMH 显著低于术前的水平，差异有统计学意义（P＜0.05）。结论：≥ 40
岁患者在接受子宫手术时可能会影响其卵巢储备功能，而子宫全切、广泛性子宫切除以及腹腔镜辅助子宫切除术对患者术后卵
巢功能影响更大。 |
| 英文摘要: |
| Objective:To study the effect of different surgery schemes on ovarian function of women in reproductive stage.Methods:A total of 200 women, who underwent surgical treatment in Xinxiang Central Hospital of Henan Province from January 2014
to April 2015, were randomly selected as the research subjects. All the patients were collected 5 mL venous blood 1 d before surgery and
6 months after surgery. The levels of follicle stimulating hormone (FSH) and estradiol (E2) before and after surgery, and the levels of
serum anti-mullerian hormone(AMH) of the patients in different age and surgery plan were compared.Results:There were no significant
differences in the levels of FSH and E2 of the patients between before surgery and after surgery(P>0.05). The level of serum AMH in the
patients aged more than 40 after surgery was significantly lower than before surgery, and the difference was statistically significant(P<0.
05). In the surgery mode, the levels of serum AMH in the patients after hysterectomy (hysterectomy and extensive hysterectomy) were
significantly lower than before surgery, and the difference was statistically significant(P<0.05). In the surgical method, the level of serum
AMH in the patients after hysterectomy with the assistance of laparoscopic was significantly lower than before surgery, the difference
was statistically significant(P<0.05).Conclusion:The ovarian reserve functions of the patients aged 40 and over may be influenced when
accepted uterine surgery; hysterectomy, extensive hysterectomy and hysterectomy with the assistance of laparoscopic patients may
seriously influence the ovarian reserve functions of the patients after surgery. |
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