首页|异位妊娠腹腔镜输卵管切除术对患者血清性激素和AMH水平的影响

异位妊娠腹腔镜输卵管切除术对患者血清性激素和AMH水平的影响

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目的 分析异位妊娠腹腔镜输卵管切除术对患者血清性激素和抗穆勒管激素水平(Anti-Müllerian Hor-mone,AMH)的影响.方法 选择2019年1月—2022年1月在平邑县人民医院接受治疗的50例异位妊娠患者为研究对象,通过随机数表法分为观察组和对照组,各25例.观察组行异位妊娠腹腔镜输卵管切除术,对照组行输卵管开窗术.比较两组相关手术指标及术后血清性激素水平和AMH水平.结果 观察组住院时间为(5.39±1.63)d、手术时间为(45.65±10.23)min,均短于对照组的(7.54±1.76)d、(52.96±11.65)min,差异有统计意义(t=4.481、2.357,P均<0.05);两组术后1个月AMH水平及术后3个月促黄体生成素(Luteinizing Hormone,LH)水平、AMH水平及术后6个月促滤泡激素(Follicle Stimulating Hormone,FSH)、LH、雌二醇(17β-estradiol,E2)、AMH水平比较,差异无统计学意义(P均>0.05),观察组术后1个月FSH、LH、E2水平及术后3个月FSH、E2水平均高于对照组,差异有统计学意义(P均<0.05).结论 异位妊娠腹腔镜输卵管切除术,对于改善患者病症有明显效果,且可最大限度保留患者的生育能力.
Effect of Laparoscopic Tubectomy for Ectopic Pregnancy on Patients'Se-rum Sex Hormone and AMH Levels
Objective To analyze the effects of laparoscopic tubectomy for ectopic pregnancy on patients'serum sex hormone and anti-Müllerian hormone(AMH)levels.Methods 50 ectopic pregnancy patients treated in Pingyi County People's Hospital from January 2019 to January 2022 were selected as the study objects,and divided into observation group and control group by random number table method,with 25 cases each.The observation group underwent laparo-scopic tupingectomy for ectopic pregnancy,and the control group underwent tubal fenestration.Relevant surgical indi-cators and postoperative serum sex hormone levels and AMH levels were compared between the two groups.Results The hospitalization stay in the observation group was(5.39±1.63)d,operation time(45.65±10.23)min,which were shorter than(7.54±1.76)d,(52.96±11.65)min in the control group,the differences were statistically significant(t= 4.481,2.357,both P<0.05).The AMH level at 1 month after surgery,luteinizing hormone(LH),AMH level at 3 mouths after surgery,follicular stimulating hormone(FSH),LH,estradiol(E2),and AMH at 6 months after surgery were compared between the two groups,the difference was not statistically significant(all P>0.05),the levels of FSH,LH,E2 at 1 month after surgery and FSH and E2 levels at 3 months after surgery of the observation group were higher than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Laparo-scopic tubectomy for ectopic pregnancy has obvious effect on improving patients'disease and can maximize the reten-tion of patients'fertility.

Serum sex hormoneAnti-Müllerian hormone levelLaparoscopic tubectomy for ectopic pregnancy

李长玲

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平邑县人民医院妇产科,山东临沂 273000

血清性激素 抗穆勒管激素水平 异位妊娠腹腔镜输卵管切除术

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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