国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2013, Vol. 32 ›› Issue (2): 118-122.

• 综述 • 上一篇    下一篇

不孕症的腔镜手术与卵巢储备功能

吴梦琼,杨冬梓   

  1. 510120 广州，中山大学孙逸仙纪念医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-03-15 发布日期:2013-03-15

Ovarian Reserve and Endoscopic Surgery for Infertility

WU Meng-qiong，YANG Dong-zi   

  1. Sun yat-sen Memorial Hospital，Sun yat-sen University，Guangzhou 510120，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-03-15 Online:2013-03-15

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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。

关键词: 腹腔镜, 宫腔镜, 不育, 卵巢储备

Abstract: Endoscopy， such as laparoscopy （LP） and hysteroscopy（HP），has been widely used in the diagnosis and treatment of infertility due to the pathological changes in ovaries，fallopian tubes，uterus or other organs in the pelvic cavity. However，the side effect of electric injury on ovaries is not negligible. So far，many studies have shown that the laparoscopic ovarian endometrioma resection, laparoscopic tubal ligation, laparoscopic salpingectomy，and laparoscopic ovarian drilling, could cause the declined ovarian reserve. There is not a conclusion in short-term follow-up at present on whether the hysteroscopic endometrial resection or laparoscopic myomectomy impaire ovarian function.

Key words: Laparoscopes, Hysteroscopes, Infertility, Ovarian reserve