The effect of tubal ligation or resection on ovarian reserve function and blood flow param-eters in patients with unilateral hydrosalpinx
Objective To investigate the effects of tubal ligation or salpingectomy on ovarian reserve function and blood flow parameters in patients with unilateral hydrosalpinx.Method A total of 93 patients who underwent surgical treat-ment for unilateral hydrosalpinx at Jiaxing Maternal and Child Health Hospital in Zhejiang Province from January 2020 to June 2023 were randomly divided into a resection group(45 cases)and a ligation group(48 cases).The changes in surgical indicators(surgery time,intraoperative blood loss),ovarian reserve function[serum follicle stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),anti Mullerian hormone(AMH)],and ovarian blood flow parameters[ovarian vascu-lar index(VI),blood flow index(FI),vascular blood flow index(VFI)]were compared between the two groups before and 6 months after surgery.Results(1)There was no statistically significant difference in surgical time and intraoperative bleed-ing between the two groups(P＞0.05).(2)Before surgery,there was no statistically significant difference in the levels of serum AMH,FSH,LH,and E2 between the two groups(P＞0.05);Six months after surgery,there was no statistically significant dif-ference in the levels of serum AMH,FSH,and LH between the two groups compared to preoperative levels(P＞0.05),and there was no statistically significant difference in the levels of the above four indicators between the two groups(P＞0.05).(3)During unilateral salpingectomy,compared with preoperative results,the unilateral VFI significantly decreased at 6 months postoper-atively(P＜0.01),while there was no statistically significant difference on the healthy side(P＞0.05);There was no statistically significant difference in VI and FI between the healthy and affected sides(P＞0.05)During unilateral salpingectomy,there was no statistically significant difference in VI,FI,and VFI between the affected and healthy sides 6 months after surgery com-pared to preoperative levels(P＞0.05).Conclusion Within 6 months after surgery,unilateral salpingectomy and ligation have no significant effect on ovarian reserve function,but unilateral salpingectomy may reduce blood flow perfusion in the affected ovary.
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