[1]马姣荣,刘成云△.促性腺激素释放激素激动剂对保留卵巢根治术患者卵巢功能的影响*[J].陕西医学杂志,2020,49(1):24-26.
 MA Jiaorong,LIU Chengyun..Effect of gonadotropinreleasing hormone agonist on ovarian function in patients undergoing ovarian radical resection[J].,2020,49(1):24-26.
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促性腺激素释放激素激动剂对保留卵巢根治术患者卵巢功能的影响*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年1期
页码:
24-26
栏目:
临床研究
出版日期:
2020-01-05

文章信息/Info

Title:
Effect of gonadotropinreleasing hormone agonist on ovarian function in patients undergoing ovarian radical resection
文章编号:
DOI:10.3969/j.issn.10007377.2020.01.006
作者:
马姣荣刘成云△
陕西省榆林市中医医院(榆林 719000)
Author(s):
MA JiaorongLIU Chengyun.
Yulin Traditional Chinese Medicine Hospital in Shaanxi Province(Yulin 719000)
关键词:
GnRH激动剂保留卵巢根治术卵巢储备功能早期宫颈癌改良Kupperman评分
Keywords:
Key words GnRH agonistRetention of ovarian radical surgeryOvarian reserve functionEarly cervical cancerImproved kupperman score
分类号:
R737.31
文献标志码:
A
摘要:
摘 要 目的:探讨促性腺激素释放激素(GnRH)激动剂对保留卵巢根治术患者卵巢功能的影响。方法:选取150例早期宫颈癌患者,按信封法分为对照组(n=75,保留卵巢根治术)及观察组(n=75,保留卵巢根治术联合GnRH激动剂),比较两组患者卵巢功能变化。结果:观察组化疗后基础卵泡刺激素(bFSH)、基础雌激素(bE2)水平低于对照组,血清抗菌勒管激素(AMH)、基础窦状卵泡数(bAFC)高于对照组,差异有统计学意义(P<005)。观察组化疗后改良Kupperman评分(13.51±2.47)分低于对照组的(21.80±2.51)分,ENRICH评分(318.94±58.53)分高于对照组的(245.61±55.28)分,差异有统计学意义(P<005)。结论:早期宫颈癌患者行保留卵巢根治术治疗,联合GnRH激动剂可保留患者卵巢储备功能。
Abstract:
Abstract Objective:To investigate the effect of gonadotropinreleasing hormone(GnRH) agonist on ovarian function in patients with ovarian radical resection. Methods:150 patients with early cervical cancer were enrolled. The patients were divided into the control group(n=75,ovarian radical resection) and the observation group(n=75,ovarian radical surgery combined with GnRH agonist). The ovarian function changes were compared between the two groups. Results:The levels of bFSH and bE2 in the observation group were lower than those in the control group. The AMH and bAFC were higher than that in the control group(P<005). The improved Kupperman score(13.51±2.47) in the observation group was lower than that in the control group(21.80±2.51),and the ENRICH score(318.94±58.53) was higher than that in the control group(245.61±55.28),which were statistically significant(P<005). Conclusion:In treatment of patients with early cervical cancer,ovarian radical resection combined with GnRH agonist can preserve the ovarian reserve function of patients. Its clinical value is high to be worthy of promotion.

参考文献/References:

[1] 孙红艳,王改华.不同手术方式治疗卵巢癌临床效果及对患者生育功能的影响[J].陕西医学杂志,2019,48(2):213216.
[2] 林兰娟,曾勇梅,李水云,等.黄芪扶正汤对卵巢癌术后化疗患者免疫功能的影响[J].陕西中医,2017,38(2):217219.
[3] Hickman LC,Valentine LN,Falcone T.Preservation of gonadal function in women undergoing chemotherapy:a review of the potential role for gonadotropinreleasing hormone agonists[J].Am J Obstet Gynecol,2016,215(4):415422.
[4] Tao M,Shao H,Li C,et al.Correlation between the modified kupperman index and the menopause ratingscale in chinese women[J].Patient Prefer Adherence,2013,7:223229.
[5] Fowers BJ,Olson DH.Enrich marital inventory:a discriminant validity and crossvalidation assessment[J].J Marital Fam Ther,1989,15(1):6579.
[6] 王 艳.保留卵巢功能的宫颈癌根治术对宫颈癌病人预后及生活质量的影响[J].蚌埠医学院学报,2018,43(11):3033.
[7] 王 娜.早期上皮性卵巢癌保留生育功能手术的安全性及可行性探讨[J].实用癌症杂志,2018,33(4):635637.
[8] 李会荣,张同美.促性腺激素释放激素激动剂对早期宫颈癌行保留卵巢根治术患者卵巢功能的保护作用[J].海南医学,2018,29(2):181183.
[9] 吴夏筠,黄宏伟,董小萍,等.戈舍瑞林对卵巢恶性肿瘤化疗后卵巢功能的保护[J].现代医院,2015,15(5):5354.
[10] Knudtson JF,TellezSantos M,Failor CM,et al.A combination of a GnRH antagonist and agonist for fertility preservation in an adolescent female murine model[J].Reprod Sci,2017 ,24(9):12801283.
[11] Hwang JL,Chen SU,Chen HJ,et al.Feasibility of corifollitropin alfa/GnRH antagonist protocol combined with GnRH agonist triggering and freezeall strategy in polycystic ovary syndrome patients[J].J Formos Med Assoc,2018,117(6):535540.

备注/Memo

备注/Memo:
*陕西省教育厅科学研究项目(2013JK0782)
更新日期/Last Update: 2020-02-17