臨床婦人科産科78巻9号

2024年09月発行

今月の臨床 ―外来担当医として知っておきたい―婦人科腫瘍の卵巣機能・妊孕性温存療法

卵巣腫瘍編

良性卵巣囊腫摘出術が卵巣機能に及ぼす影響

著者： 髙橋俊文¹

所属機関： ¹福島県立医科大学ふくしま子ども・女性医療支援センター

ページ範囲：P.810 - P.814

文献概要

●システマティック・レビューによると，良性卵巣囊腫（内膜症性囊胞を除く）の囊胞摘出後にはAMH値が低下し，卵巣機能が悪化する．

●内膜症性囊胞摘出術によりAMH値が低下し卵巣機能を悪化させるが，AFCは変化しない．

●内膜症性囊胞の反復手術や両側性の囊胞摘出術は，初回手術や片側性の場合と比べ，より卵巣機能を悪化させる．

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