Yazici Gurkan, Arslan Murat, Pata Ozlem, Oz Utku, Aban Meral
Department of Obstetrics and Gynecology, Mersin University, Mersin, Turkey.
J Reprod Med. 2004 May;49(5):379-83.
To investigate the effect of tubal sterilization (laparoscopic bipolar coagulation) on serum baseline follicle-stimulating hormone (FSH) and estradiol levels, ovarian volume, antral follicle counts and ovarian artery blood flow rate and to evaluate the correlation of these parameters.
Nineteen women who underwent tubal sterilization with laparoscopic bipolar coagulation were enrolled in the study. Ovarian volume, antral follicle counts, serum hormone levels and ovarian artery resistivity index values were measured before and 1 year after the sterilization procedure on the third day of the menstrual cycle.
Serum hormone levels, mean ovarian volume (MOV) and mean follicle counts (MFC), were not statistically significant before and 1 year after the operation (P > .05). The difference in ovarian artery resistivity index values was not statistically significant before and 1 year after the operation (P > .05). A significant correlation was observed between FSH, MOV and MFC before and after the operation (P < .05). No correlation was observed between MOV or MFC and resistivity index.
Ovarian function and vascular resistance do not seem to be affected by laparoscopic bipolar tubal coagulation.
探讨输卵管绝育术（腹腔镜下双极电凝术）对血清基础促卵泡生成素（FSH）和雌二醇水平、卵巢体积、窦卵泡计数及卵巢动脉血流速度的影响，并评估这些参数之间的相关性。
19例行腹腔镜下双极电凝输卵管绝育术的女性纳入本研究。在绝育手术前及术后1年月经周期第3天测量卵巢体积、窦卵泡计数、血清激素水平及卵巢动脉阻力指数值。
手术前及术后1年血清激素水平、平均卵巢体积（MOV）和平均卵泡计数（MFC）差异无统计学意义（P>.05）。手术前及术后1年卵巢动脉阻力指数值差异无统计学意义（P>.05）。手术前后FSH、MOV和MFC之间存在显著相关性（P<.05）。MOV或MFC与阻力指数之间未观察到相关性。
腹腔镜下双极输卵管电凝术似乎不会影响卵巢功能和血管阻力。
