首页|miR-221-3p和miR-486-5p的表达与输卵管性不孕症患者腹腔镜术后生殖预后的相关性分析

miR-221-3p和miR-486-5p的表达与输卵管性不孕症患者腹腔镜术后生殖预后的相关性分析

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目的 探讨miR-221-3p和miR-486-5p的表达与输卵管性不孕症患者腹腔镜术后生殖预后的相关性.方法 选取2019年10月至2021年9月就诊于沧州市人民医院的100例输卵管性不孕患者作为研究对象,根据腹腔镜术后1年内是否妊娠分为妊娠组(n=66)和未妊娠组(n=34).采用实时荧光定量聚合酶链反应(PCR)法检测患者血清miR-221-3p和miR-486-5p的水平并进行分析,采用化学免疫发光法检测血清卵泡刺激素(FSH)、催乳素(PRL)和黄体生成素(LH)水平.收集并比较两组患者临床特征,采用Pearson相关性分析患者妊娠情况与血清miR-221-3p和miR-486-5p表达的相关性,采用Logistic回归分析输卵管性不孕症妊娠情况的影响因素.结果 妊娠组患者血清miR-221-3p和miR-486-5p表达水平显著高于未妊娠组患者(P<0.05),FSH和LH水平均显著低于未妊娠组(P<0.05).两组患者盆腔炎病史、子宫输卵管造影(HSG)检查、盆腔粘连和盆腔积液指标比较,差异具有统计学意义(P<0.05);患者术后未妊娠与 miR-221-3p、miR-486-5p 水平均呈负相关(r=-0.675、-0.585,P<0.05);miR-221-3p及miR-486-5p的表达、FSH、LH、HSG检查、盆腔粘连和盆腔炎病史为患者妊娠情况的影响因素(P<0.05).结论 miR-221-3p和miR-486-5p的表达与输卵管性不孕症患者腹腔镜术后未妊娠呈负相关,对判断患者预后情况具有一定的临床意义.
Correlation between miR-221-3p and miR-486-5p expressions and reproductive prognosis of patients with tubal infertility after laparoscopic surgery
Objective To investigate the correlation between miR-221-3p and miR-486-5p expressions and the reproductive prognosis of patients with tubal infertility after laparoscopic surgery.Methods A total of 100 patients with tubal infertility admitted to Cang-zhou People's Hospital from October 2019 to September 2021 were selected as the study subjects,and divided into a pregnancy group(n=66)and a non-pregnancy group(n=34)based on whether they were pregnant within one year after laparoscopic surgery.The levels of serum miR-221-3p and miR-486-5p were detected and analyzed by real-time fluorescent quantitative polymerase chain reaction(PCR),the levels of serum follicle stimulating hormone(FSH),prolactin(PRL)and luteinizing hormone(LH)in all patients were detected by chemiluminescence method.Clinical features of patients in the two groups were collected and compared.Pearson correlation analysis was applied to analyze the correlation between pregnancy status and serum miR-221-3p and miR-486-5p expression,and Logistic regression was performed to analyze the influencing factors of pregnancy in the prognosis of tubal infertility.Results The levels of serum miR-221-3p and miR-486-5p in pregnant women were obviously higher than those in non-pregnant women(P<0.05),the levels of FSH and LH were obviously lower than those in the non-pregnant group(P<0.05).There were statistically significant differences in pelvic inflammatory history,hysterosalpingogram(HSG)examination,pelvic adhesion and pelvic effusion between the two groups(P<0.05).The postoperative non-pregnancy was negatively correlated with miR-221-3p and mi R-486-5 p levels(r=-0.675,-0.585,P<0.05).The expressions of miR-221-3p and miR-486-5p,FSH,LH,HSG examination,pelvic adhesions and pelvic inflammation history were the influencing factors for the pregnancy in the prognosis of patients(P<0.05).Conclusions The expressions of miR-221-3p and mi R-486-5 p are negatively correlated with non-pregnancy in patients with tubal infertility after laparoscopic surgery,which has certain clinical significance in judging the prognosis of patients.

Tubal infertilityMiR-221-3pMiR-486-5pPrognosis

蒲章卫、窦晓梦、董羊羊、纪江海、宋欣

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沧州市人民医院妇科,河北沧州 061000

输卵管性不孕症 miR-221-3p miR-486-5p 预后

2022年度河北省省级科技计划项目

20220308

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(1)
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