促性腺激素释放激素激动剂术前给药对行微创腔镜治疗Ems患者围手术期临床指标AMH及卵泡数的影响.docVIP

促性腺激素释放激素激动剂术前给药对行治疗Ems患者激素、窦卵泡计数及水平的影响 【摘要】目的:探讨促性腺激素释放激素激动剂术前给药对行治疗Ems患者激素、窦卵泡计数及水平的影响。方法：研究对象选取行微创手术治疗Ems患者共10例，随机数字表法分为对照组（例）和干预组（例），分别给予单用和在次基础上术前加用促性腺激素释放激素激动剂辅助治疗；比较两组患者，水平，窦卵泡计数及水平。结果：干预组患者于对照组（p0.05）；（p0.05）；（p0.05）；（p0.05）；干预组患者窦卵泡计数水平均显著于对照组（p0.05）。结论：行微创手术治疗Ems患者促性腺激素释放激素激动剂，激素。 【关键词】促性腺激素释放激素激动剂；腹腔镜；EmsInfluence of GnRH-a premedication on the levels of sex hormone, antral follicle count and matrix flow peak velocity of patients with Ems before minimally invasive operation Abstract：Objective To investigate the nfluence of GnRH-a premedication on the levels of sex hormone, antral follicle count and matrix flow peak velocity of patients with Ems before minimally invasive operation. Methods 140 patients with Ems were chosen and randomly divided into both group including control group (70 patients) with minimally invasive endoscopy used alone and intervention group (70 patients) with GnRH-a before operation; and the operation time, intraoperative blood loss, postoperative body temperature, postoperative intraperitoneal drainage volume, postoperative exhaust time, the levels of sex hormone, AMH, AFC and PSV of both groups were compared. Results The peri-operative clinical index of intervention group were significantly better than control group （p0.05）. The of both groups after treatment were significantly higher than before treatment（p0.05）. The of both groups after treatment were significantly lower than before treatment（p0.05）. The of intervention group in 6 months after operation were significantly better than control group（p0.05）.（p0.05）. The levels ofafter operation of intervention group were significantly higher than control group（p0.05）. Conclusion premedication in the treatment of patients with Ems by minimally invasive operation can efficiently shorten the operation time, reduce the surgical trauma degree, speed up the recovery process after operation, improve the level of sex hormone and be helpful to higher the ovarian reserve function. [Key Wo