RESUMO
Objective To explore the effects of Jinghou Zengzhi Granules(JHZZG),on ovarian GDF9 secretion and granulosa cells(GCs)apoptosis in controlled ovarian hyperstimulation(COH)rats through p38MAPK/CK2/IκBα/NF-κB pathway.Methods A model of COH rats was prepared and 18 rats were randomly divided into 3 groups,including natural ovulation group(NO group),COH group,and COH+JHZZG group.The expression of p38MAPK,CK2,IκBα,NF-κB,GDF9 mRNA and protein were detected by qRT-PCR and Western blot,and the apoptosis rate of ovarian GCs by TUNEL.Results Compared with the NO group,the expression of p38MAPK and NF-κB in the ovarian tissue of rats in the COH group increased,while the expression of CK2,IκBα and GDF9 decreased,and the apoptosis rate of ovarian GCs increased(all P<0.01).Compared with the COH group,the expression of p38MAPK and NF-κB in the ovarian tissue of rats in the COH+JHZZG group decreased,while the expression of CK2,IκBα and GDF9 increased(all P<0.01),and the apoptosis rate of ovarian GCs decreased(P<0.05).Conclusion Jinghou Zengzhi Granules could promote the secretion of ovarian GDF9 and inhibit the apoptosis of ovarian GCs of COH rats through p38MAPK/CK2/IκBα/NF-κB signaling pathway,which thereby improve the quality of COH oocytes.
RESUMO
Objective To evaluate the advantage of uterine appendages lump operation by laparoscopy and the choose of the patient. Methods 215 cases of ovrarian tumor operation and fallpian tubes operation by laparoscopy,50 cases of similar period and similar operation indication were chosen by laparoscopy or by abdorminial operation apiece, blood loss, postoperative analgesic rate, the time of using antibiotics, hospitalization day were compared. Results Uterine appendages lump operation by laparoscopy were all operated successfully, compared with abdorminial operation, the laparoscopy group had less blood loss,less drug after operation,less pain, shortened hospitalization day.Conclusion As long as choosing the appropriate cases before the operation, uterine appendages lump operation by laparoseopy has the advantage of minimal trauma, recovery fastly,less postoperative complication and safety.