| 周燕飞.黏膜下子宫肌瘤类型对宫腔镜治疗后卵巢储备功能的影响[J].浙江中西医结合杂志,2016,26(3): |
| 黏膜下子宫肌瘤类型对宫腔镜治疗后卵巢储备功能的影响 |
| The effect of the hysteroscopic surgery on the ovary reserve function in the patients with the various type of submucous hysteromyoma |
| 投稿时间：2015-07-27 修订日期：2015-10-27 |
| DOI： |
| 中文关键词: 【关键词】黏膜下子宫肌瘤 宫腔镜 卵巢功能 性激素 |
| 英文关键词:submucous hysteromyoma, hysteroscopic surgery, ovary function, gonadal hormone |
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| 中文摘要: |
| 【摘要】目的：探讨黏膜下子宫肌瘤类型的差异对接受宫腔镜治疗患者卵巢储备功能的影响。方法：前瞻性分析78例接受宫腔镜手术治疗的黏膜下子宫肌瘤患者，根据肌瘤类型不同分为：A组，共26例，黏膜下肌瘤完全向宫腔方向生长；B组，共24例，肌瘤大部分向宫腔方向生长；C组，共28例，肌瘤小部分向宫腔方向生长。三组患者均于术前及术后第6个月检测血清性激素(FSH、LH、E2、T及P)浓度以及应用阴道彩超检测搏动指数(PI)、血流阻力指数(RI)和卵巢间质动脉血流的收缩期峰值(PSV)，窦卵泡数(F0)，并予以比较。结果：三组患者术前的血清性激素(FSH、LH、E2、T及P)浓度及PI、RI、PSV与F0均无显著差异(P>0.05)。术后6月三组的血清性激素浓度无差异(P>0.05)，而三组患者PI、PSV存在差异，顺序为A组>B组>C组(P<0.05)；而三组的RI与F0无显著差异(P>0.05)。结论：接受宫腔镜手术治疗的不同黏膜下子宫肌瘤类型患者卵巢分泌性激素无差异，但是肌瘤向宫腔方向生长越多，术后卵巢动脉的血供影响越小。
【关键词】黏膜下子宫肌瘤；宫腔镜；卵巢功能；性激素 |
| 英文摘要: |
| [Abstract]Objective: To analyze the effect of the hysteroscopic surgery on the ovary reserve function in the patients with the various type of submucous hysteromyoma. Methods: A total of 78 patients diagnosed submucous hysteromyoma and received hysteroscopic surgery were collected to prospective study, and divided into three groups, which were A group (26 cases, submucous hysteromyoma growing to uterine cavity completely), B group (24 cases, hysteromyoma growing to uterine cavity mostly) and C group (28 cases, hysteromyoma growing to uterine cavity barely). The indexes of serum levels of gonadal hormones (FSH, LH, E2, T and P) were detected and the indexes of pulsatility index (PI), resistance index (RI), peak systolic velocity (PSV) and F0 by transvaginal color doppler (TVCD) at preoperation and 6-month postoperation. All above indexes were compared among three groups. Results: The serum levels of gonadal hormones (FSH, LH, E2, T and P) and PI, RI, PSV and F0 were no different among three groups at preoperation (P>0.05). The serum levels of gonadal hormones were no different among three groups at 6-month postoperation (P>0.05). The indexes of PI and PSV were different among three groups at 6-month postoperation, and the sequence was A group> B group > C group (P<0.05). But the index of RI and F0 were no different among three groups at 6-month postoperation (P>0.05). Conclusion: The serum levels of gonadal hormones were no different among the patients with the various type of submucous hysteromyoma received the hysteroscopic surgery. The more submucous hysteromyoma was growing to uterine cavity, the less the blood supply of ovarian artery postoperation was affected.
[Key words] submucous hysteromyoma, hysteroscopic surgery, ovary function, gonadal hormone |
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