不孕症的腔镜手术与卵巢储备功能

被引:7
作者
吴梦琼
杨冬梓
机构
[1] 中山大学孙逸仙纪念医院
关键词
腹腔镜; 宫腔镜; 不育; 卵巢储备;
D O I
暂无
中图分类号
R713 [妇科手术];
学科分类号
100211 [妇产科学];
摘要
腔镜包括腹腔镜(laparoscopy,LP)和宫腔镜(hysteroscopy,HP),其在不孕不育症诊治中的应用已经非常广泛,其在助孕治疗中的作用主要是诊断和处理因卵巢、输卵管、其他盆腔因素以及子宫腔病变等引起的不孕。但在腔镜治疗的同时,电热损伤对卵巢功能有不可忽视的负面影响。目前,较为明确的是腹腔镜卵巢子宫内膜异位囊肿剔除术、腹腔镜输卵管结扎术、腹腔镜输卵管切除术和卵巢打孔术可引起卵巢储备功能下降。但在短期随访中尚未发现宫腔镜下子宫内膜电切术、腹腔镜下子宫肌瘤剔除术可降低卵巢功能。
引用
收藏
页码:118 / 122
页数:5
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