现代妇产科进展Issue(11)：885-888,4.DOI:10.13283/j.cnki.xdfckjz.2014.11.015
AMH 在卵巢囊肿术后对卵巢储备影响的评价作用
Anti-müllerian hormone as a new mark of ovarian reserve in laparoscopic ovarian cys-tectomy
摘要
Abstract
Objective:To investigate the role of AMH in the evaluation of ovarian re-serve on the ovarian wound was treated by electrocoagulation and suture hemostasis in the lapa-roscopic ovarian cystectomy. Methods:Thirty-three patients with unilateral benign ovarian cyst from May 2008 to July 2013 were divided into 2 groups randomly to undergo laparoscopic cys-tectomy. According to hemostatic method,one is electrocoagulation group (n = 18),another is suture group(n =20). Twenty-three females in the same age were selected as the normal control group (NCG). In early follicular phase (day 3) of the cycle preceding the operation and 1,3, 6 months after the laparoscopic cystectomy,serum levels of AMH FSH,E2 and LH,AFC were detected in the 3 groups. The ovarian arterial resistance index (RI) and ovarian antral follicle count (AFC) were tested by transvaginal color doppler ultrasonic sonography at the day 3-5 of same menstrual cycle. Results:There were no significant difference in preoperative general con-ditions and ovarian reserve among the 3 groups (P>0. 05). The AFC of suture group and coag-ulation group in the ovary ovarian cyst after 1 month of operation was significantly reduced than that in the NCG,the serum AMH levels of suture group and coagulation group after 1,3,6 months of operation were obviously lower than that in the NCG,the serum E2 levels of coagula-tion group after operation 1 month were higher than that in the NUG (P<0. 05). Meanwhile,no significant difference in ovarian arterial RI,FSH,LH were found among the 3 groups after 1,3, 6 months of operation (P<0. 05). Conclusion:This study demonstrated that the postoperative serum AMH levels were obviously decreased compared with other evaluation of ovarian reserve index,the serum AMH levels suggested that ovarian reserve damaged which recovered to the preoperative levels. Therefore AMH could be used in clinic to evaluate the ovarian reserve.关键词
AMH/卵巢储备/卵巢囊肿/腹腔镜卵巢囊肿剔除术Key words
Key words] Anti-Müllerian hormone/Ovarian reserve,Benign ovarian cyst/Laparo-scopic cystectomy分类
医药卫生引用本文复制引用
李华萍,张保华,袁博,冯晓丹,戴琴,曹明华,徐文怡..AMH 在卵巢囊肿术后对卵巢储备影响的评价作用[J].现代妇产科进展,2014,(11):885-888,4.基金项目
上海市浦东新区卫计委青年基金(No:PW2011B-8) （No:PW2011B-8）
上海市浦东新区青年医学人才项目(No:PWRq2012-31) （No:PWRq2012-31）
