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目的探讨多种激素检测评估不同手术治疗方式对输卵管妊娠患者术后卵巢储备功能的影响。方法根据治疗方法,将98例输卵管妊娠患者分为腹腔镜下输卵管切除组(A组)、保守手术组(B组),检测对比患者术后的激素水平。结果A组术后INHB、AMH低于B组,差异有统计学意义(P<0.05);A组术后FSH、LH、E2高于B组,差异有统计学意义(P<0.05)。结论输卵管切除术影响患侧卵巢储备功能,保守手术治疗对卵巢的储备功能无明显影响。
Objective To investigate the effect of multiple hormonal tests on postoperative ovarian reserve in patients with tubal pregnancy after different surgical treatments. Methods According to the treatment, 98 cases of tubal pregnancy were divided into laparoscopic tubal resection group (A group) and conservative surgery group (B group). The levels of hormone in the patients after operation were compared. Results The postoperative levels of INHB and AMH in group A were significantly lower than those in group B (P <0.05). The FSH, LH and E2 in group A were higher than those in group B after operation (P <0.05). Conclusions Tubal excision affects the ipsilateral ovarian reserve, and conservative surgery has no significant effect on ovarian reserve.