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| Effect of Laparoscopic Oviduct Sparing Surgery on Ovarian Reserve Function and Re-productive Function in Patients with Tubal Pregnancy |
| ZHANG Jin, CHEN Mei, XU Xiulan |
| Hanchuan Hospital, People's Hospital of Wuhan University, Hubei Xiaogan 432300, China |
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Abstract Objective: To analyze the effect of laparoscopy on ovarian reserve function and fertility function in tubal pregnancy. Methods: 218 patients with tubal pregnancy in our hospital were retrospectively studied. According to different treatments, they were divided into the conservative group (87 cases), the resection group (89 cases), and the retention group (42 cases). After treatment, sex hormone levels, ovarian function parameters, and the repregnancy status of the 3 groups were compared. Results: There were significant differences in the content of sex hormone (FSH, E2, LH, progesterone) and the level of ovarian function (ovarian sectional area, number of sinusoid follicles, PSV, EDV) among the three groups after treatment (P<0.05). Pair comparison showed that the content of three sex hormones (FSH, E2 and LH) in the retention group was significantly lower than that in the conservative group and the resection group, and the progesterone level and various ovarian function parameters in the retention group were significantly higher than that in the conservative group and the resection group, with statistically significant differences between the two groups (P<0.05). Compared at different time points, the E2, progesterone sex hormone levels and various ovarian function parameters of the three groups showed a significant downward trend with time migration, while the FSH and LH sex hormone levels increased significantly. The incidence of non-pregnancy in the conservative group (39.08%), the excision group (41.57%) and the retention group (23.80%) was statistically significant (P<0.05). The incidence of intrauterine pregnancy in the conservative group (32.18%), the excision group (28.09%), and the retention group (26.19%) had statistically significant differences (P<0.05). Conclusion: Compared with other commonly used therapies, laparoscopic tubal preservation surgery in patients with tubal pregnancy can better preserve fertility and has better ovarian reserve function.
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2021, Vol. 27 
