摘要
目的 :总结腹腔镜手术治疗多囊卵巢综合征 (PCOS)不孕症病人的疗效 ,探讨预测术后疗效的指标。方法 :对符合PCOS标准的不孕症病人 31例采用腹腔镜手术 ,追踪随访术后月经周期、排卵和妊娠情况 ,部分病人手术前后测定性激素进行比较。结果 :腹腔镜治疗PCOS不孕症 ,恢复正常月经周期 6 2 .1% ,术后排卵率79.3 % ,术后妊娠率 6 5 .5 % ,流产率 2 1.1%。术后 3d内E2 、P、T降低而FSH、LH升高者预后好。结论 :腹腔镜是治疗PCOS不孕症特别是难治性PCOS病人的实用、有效手段 ,但应掌握好手术时机和手术指征 。
Objective: To summarize the curative effect of infertility with polycystic ovary syndrome (PCOS) by laparoscopy, and explore the indicatrix to prognosticate the effect of operation. Methods: 31 cases of infertility with PCOS in our hospital from January to December 1999 were chosen. The menstrual cycle, ovulation and pregnancy were followed up and investigated. The preoperative and postoperative serum sex hormones concentration of 13 cases was detected and compared. Results: The rate of recovered menstrual cycle was 62.1%, ovulation rate was 79.3%, pregnancy rate was 65.5%, orthotic pregnancy rate was 76%, and abortion ratio was 21.1%. Those with decreased E2, P, T and increased FSH, LH in serum within the postoperative period of 3 days had a good prognosis. Conclusions: Laparoscopy is a practical and effective therapy for PCOS. But the suitable time and indication of operation should be grasped. The changes of serum sex hormones concentration during operation may be one of the valuable prognostic indicators in early stage.
出处
《中国内镜杂志》
CSCD
2001年第4期57-57,61,共2页
China Journal of Endoscopy
