Correlation between the values of ovarian reserve function indicators of patients after laparoscopic bilateral oophorocystec-tomy of patients with ovarian benign tumors and the values of their endometrial receptivity indicators
Objective:To explore the correlation between the values of ovarian reserve function indicators of patients with ovarian benign tumors after laparoscopic bilateral oophorocystectomy and the values of their endometrial receptivi-ty indicators.Methods:The clinical data of 62 patients with ovarian benign tumors after laparoscopic bilateral oophoro-cystectomy from September 2018 to November 2021 were selected in this study.The values of ovarian reserve function indicators,such as the serum anti-Mullerian hormone(AMH)level,the baseline antral follicle count(AFC)and the se-rum inhibin B(INHB)level,the levels of basal sex hormones,such as follicle-stimulating hormone(FSH),luteinizing hormone(LH)and estradiol(E2),and the values of endometrial receptivity indicators,such as flow resistance index(RI)and pulsatility index(PI)of uterine spiral arteries,and endometrial thickness,of the patients on the 2nd to 3rd day of the menstruation were compared between before surgery and in the 6th month after surgery.Pearson correlation analysis was used to evaluate the correlation between the values of the endometrial receptivity indicators of the patients after surgery and the values of their ovarian reserve function indicators.Results:The serum levels of AMH and INHB,and the AFC of the patients with endometrioma or mucinous/serous cystadenoma in the 6th month after surgery were significantly lower than those before operation surgery(P＜0.05).The AFC of the patients with mature teratoma in the 6th month after surgery was significantly lower than that before surgery(P＜0.05),but there was no significant difference in the AMH and INHB levels of the patients between in the 6th month after surgery and before surgery(P＞0.05).The levels of serum FSH,E2,RI and PI of the patients in the 6th month after surgery were significantly higher than those before surgery(all P＜0.05).Pearson correlation analysis showed that the AMH and INHB levels,and the AFC of the patients after surgery were positively correlated with their RI and PI values,and were negatively correlated with their endometrial thickness(all P＜0.05).Conclusion:After laparoscopic bilateral oophorocystectomy of benign tumors,the ovarian reserve function indicators of the patients are related to their endometrial receptivity indicators,and which can provide the clinical guidance for the postoperative fertility evaluation of the patients.
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