引用本文:张潇迪.抗苗勒管激素在腹腔镜单侧卵巢子宫内膜异位囊肿剥除手术中的检测分析[J].中国临床新医学,2018,11(10):1002-1005.
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抗苗勒管激素在腹腔镜单侧卵巢子宫内膜异位囊肿剥除手术中的检测分析
张潇迪
421001 湖南,南华大学附属第二医院妇产科
摘要:
[摘要] 目的 探讨抗苗勒管激素(AMH)在腹腔镜单侧卵巢子宫内膜异位囊肿手术前后的变化及其意义。方法 选择2016-01~2017-06南华大学附属第二医院收治的单侧卵巢子宫内膜异位囊肿患者90例作为观察组,同期收治的卵巢良性囊肿患者120例为对照组,均行卵巢囊肿剥除术,获取术前及术后1周、3个月和6个月的血清AMH检测结果。结果 术前观察组患者血清中AMH表达低于对照组(P<0.01);手术后两组患者AMH值均下降,差异有统计学意义(P<0.01),观察组患者术后AMH下降率高于对照组(P<0.01)。结论 卵巢子宫内膜异位囊肿患者AMH降低,卵巢囊肿剥除术会对卵巢功能产生影响,术后半年卵巢功能仍处于恢复阶段,卵巢子宫内膜异位囊肿患者更甚。
关键词:  抗苗勒管激素  卵巢子宫内膜异位症  卵巢良性肿瘤  腹腔镜卵巢囊肿剥除术
DOI:10.3969/j.issn.1674-3806.2018.10.12
分类号:R 737.31
基金项目:
Detection and analysis of anti-mullerian hormone in laparoscopic unilateral ovarian endometriosis cyst removal
ZHANG Xiao-di
Department of Gynecology and Obstetrics, the Second Affiliated Hospital of University of South China, Hunan 421001, China
Abstract:
[Abstract] Objective To explore the changes of anti-mullerian hormone(AMH) before and after laparoscopic unilateral ovarian endometriosis cyst removal and its significance. Methods 90 patients with unilateral ovarian endometriosis admitted to the Second Affiliated Hospital of University of South China from January 2016 to June 2017 were selected as the observation group, and other 120 patients with benign ovarian cysts as the control group. Both of the two groups were performed the operation of laparoscopic ovarian cyst extirpation. The serum AMH test results were obtained before operation and 1 week, 3 months and 6 months after operation. Results The serum AMH expression in the patients of the observation group was significantly lower than that in the patients of the control group(P<0.01). The AMH values decreased after surgery in both groups(P<0.01). The rate of AMH decline in the patients of the observation group was significantly higher than that in the patients of the control group(P<0.01). Conclusion AMH is decreased in the patients with ovarian endometriosis. Laparoscopic ovarian cyst extirpation affects the ovarian function. The ovarian function is still in recovery 6 months after surgery, especially in the patients with ovarian endometriosis.
Key words:  Anti-mullerian hormone  Ovarian endometriosis  Ovarian benign tumor  Laparoscopic ovarian cyst extirpation