Mathyk Begum A, Cetin Berna A, Atakul Nil, Koroglu Nadiye, Bahat Pinar Y, Turan Gokce, Yuksel Ilkbal T
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, University of North Carolina, Chapel Hill, North Carolina, USA.
Department of Obstetrics and Gynecology, Kanuni Sultan Suleyman Research and Training Hospital, Istanbul, Turkey.
J Obstet Gynaecol Res. 2018 Sep;44(9):1761-1765. doi: 10.1111/jog.13719. Epub 2018 Jul 5.
Ligation of major vessels supplying ovaries may alter hormones and ovarian reserve due to disturbances of vascular circulation. Our purpose is to measure serum anti-Müllerian hormone (AMH) levels and ovarian volume in patients who had internal iliac artery ligation (IIAL) and/or IIAL plus hysterectomy due to uterine atony.
Patients who underwent IIAL and IIAL+ hysterectomy were evaluated 6 months after their operations and were compared with the control group. The hormones, ovarian volume and antral follicle count (AFC) were measured in each group.
Serum AMH levels in the post-partum 6th month interval were lower in the IIAL group than in the control group and were the lowest in the IIAL+ hysterectomy group. Similar to AMH results, AFC and ovarian volumes were also lowest in the IIAL+ hysterectomy group.
IIAL and hysterectomy are lifesaving interventions during peripartum hemorrhage; however, they might alter ovarian reserve in the short term.
由于血管循环紊乱，结扎供应卵巢的主要血管可能会改变激素水平和卵巢储备。我们的目的是测量因宫缩乏力而接受髂内动脉结扎术（IIAL）和/或IIAL加子宫切除术的患者血清抗苗勒管激素（AMH）水平和卵巢体积。
对接受IIAL和IIAL加子宫切除术的患者在术后6个月进行评估，并与对照组进行比较。测量每组患者的激素水平、卵巢体积和窦卵泡计数（AFC）。
产后6个月时，IIAL组血清AMH水平低于对照组，IIAL加子宫切除术组最低。与AMH结果相似，IIAL加子宫切除术组的AFC和卵巢体积也最低。
IIAL和子宫切除术是围产期出血期间的挽救生命的干预措施；然而，它们可能会在短期内改变卵巢储备。
