Transvaginal color Doppler ultrasonography in investigating the influence of different treatments for tubal pregnancy on ovarian reserve function
10.3760/cma.j.issn.1004-4477.2015.02.012
- VernacularTitle:经阴道超声评估不同治疗方法对输卵管妊娠患者卵巢储备功能的影响
- Author:
Jiexian DU
;
Lili WANG
;
Ying LIU
;
Shuhong SHI
;
Shan QIN
- Publication Type:Journal Article
- Keywords:
Endosonography;
Tubal pregnancy;
Ovarian reserve function
- From:
Chinese Journal of Ultrasonography
2015;24(2):136-139
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence of different treatments for tubal pregnancy on ovarian reserve function by transvaginal color Doppler ultrasonography.Methods One hundred and twentyfour cases of tubal pregnancy were divided into three groups according to the treatment,group A with 45 cases under the salpingectomy,group B with 36 cases under the laparoscopic conservative surgery for retaining oviduct,group C with 43 cases taken by Methotrexate.On the day of a spontaneous cycle,all the cases' antral follicles,the ovarian volume,peak systolic velocity (PSV),resistance index (RI),pulsatility index(PI) were measured by transvaginal color Doppler ultrasound.Results The antral follicles,varian volume and PSV of diseased side in group A were lower than those of the other side(P <0.05).The antral follicles,varian volume and PSV of diseased side in group A were lower than those of other groups (P <0.001).The PI and RI of diseased side in group A were higher than those of the unaffected side.The PI and RI of two sides in group B and C were not significantly different(P >0.05).Conclusions Salpingectomy affects the ovarian reserve function.Methotrexate and conservative surgery could not reduce the ovarion reserve.