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SM ISO690:2012 DUBCHAK, A., MILEVSKIY, A., OBEID, N.. Organ-preserving surgery on uterine appendages in women with infertility and functional activity of the ovaries. In: Buletin de Perinatologie, 2018, nr. 1(77), pp. 23-28. ISSN 1810-5289. |
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Buletin de Perinatologie | ||
Numărul 1(77) / 2018 / ISSN 1810-5289 | ||
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Pag. 23-28 | ||
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The article presents data on the status of functional activity of the ovaries in women with infertility after organpreserving operations on the pelvic organs. The aim of the study was to analyze the organ-saving operations on the uterine appendages in women with infertility and to study their effect on the ovarian functional activity. Materials and methods. A total of 120 women of childbearing age with a tubal peritoneal infertility factor and benign ovarian formations, an ectopic pregnancy, who underwent surgical treatment for uterine appendages, were divided into groups: I group - 76 (63.7%) women, surgical treatment was carried out in the planned order on the ovaries (group 1a) and on the fallopian tubes (group 1b), 44 (36.7%) to the patients (group II) - surgical treatment was performed urgently on the ovaries (group 2a) and on the fallopian tubes (group 2) ). OV The arid reserve was studied on the basis of the definition of antimulylerovogo hormone, the level of FSH, counting the number of antral follicles, determining the volume of ovaries. Results. Operative interventions in the tubal peritoneal factor of infertility inhibit the OR within the fi rst month after the operation, which is manifested by a decrease in the concentration of AMH in all groups. It was revealed that in the 2 nd group after urgent surgery the value of this ghoul was 2.2 times lower than in group 1 in patients, the operation was carried out in a planned order (2.1 ± 0.1 ng / ml), (р≤0,05) and the volume of ovaries decreased to 5.9 ± 0.4 cm³ due to cystectomy and ovarian resection. A decrease in the AF was found to be 4.6 ± 0.2. In group 2b, in patients with urgent surgery performed on the fallopian tubes and ovaries, the concentration of AMG ranged from 1 to 1.5 g / ml, averaging 1.1 ± 0.2 ng / ml. The data obtained correspond to the ultrasound parameters of the assessment of the ovarian reserve. In the 2nd group, the volume of the ovaries decreased to 5.9 ± 0.4 cm³ due to cystectomy and ovarian resection. There was a decrease in AF to 4.6 ± 0.2, a decrease in AMH to 1.6 ± 0.3 ng / ml. The conclusion. The functional condition of the ovaries in women with infertility after organ-preserving operations on the uterine appendages largely depends on the planned surgical treatment and the concomitant volume of surgical intervention |
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Cuvinte-cheie infertility, surgical treatment, appendages of the uterus, ovarian reserve. |
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