摘要
本文对行腹腔镜激光打孔术治疗的68例多囊卵巢(PCO)进行了分析。结果;①总排卵率91.2％,妊娠率48.5％;②单纯激光与激光加CC(克罗米芬)的排卵率及妊娠率均无明显差异(P>0.05),但排卵周期率有明显差异(P<0.01);③稀发月经型与闭经型及多囊型与硬化型的排卵率及妊娠率相比,均为前者高于后者(P<0.01);④术后第一周期内72.9％恢复排卵,47.1％术后半年内妊娠,本文还对腹腔镜激光打孔术的术式及适应证进行了介绍。
The paper reported the effects of laparosopic ovarian laser perforation in treating polycistic.The results:(1)in total,postoperative ovulatory rate was 91.2%,and pregnancy rate was 48.5%;(2)the ovulatory rate and the pregnancy rate after treatment by laser perforation alone or laser perforation with clomiphene citrate did not show significant difference(P>0.05),but the ovulatory cycle rate was significantly different(P<0.01);(3)the ovulatory rate and pregnancy rate in oligmenorrhea type and polycystic type were higher than those in amenorrhea type and sclerosis type respectively(P<0.01);(4)in the first postoperative cycle,the resumption of ovulation occurred in 71.9%. In 6 months,the pregnancy rate was 47.1%.The paper also discussed the procedure and indications of the technique.
关键词
腹腔镜检
激光打孔术
多囊卵巢
Laparoscope
Laser Perforation
Polycystic ovarian
