摘要
目的 :评价腹腔镜下卵巢打孔术对难治性多囊卵巢综合征 (PCOS)所致不孕症的疗效。方法 :在腹腔镜下对PCOS患者的卵巢进行多点电凝打孔术 ,观测术后排卵情况、妊娠情况、流产情况、术区粘连情况 ,比较手术前后血FSH ,LH和T值的变化及月经情况的改变。结果 :排卵率为 91 .30 % (42 / 4 6) ,妊娠率达 78.2 6 %(36/ 4 6) ,流产率为 5 .56 % (2 / 36) ,术区粘连率为 38.46 % (5/ 1 3)。术后LH和T明显下降 ,差异有显著性 (P<0 .0 1 ) ,所有患者月经均改变 ,月经规律 41例。结论 :腹腔镜下卵巢多点电凝打孔术不仅具有较高的治愈率 ,而且手术操作简单安全、并发症少、术后粘连少 ,是治疗对克罗米芬 (CC)
Objective:To evaluate laparoscopic treatment of polycystic ovary syndrome (PCOS) in clomiphene-resistant infertile women.Methods:Fourty six women are comiphene-resistant anovulatory wi th PCOS. Laparoscopic ovarian drilling use an insulated needle cautery. They wer e observed the changes of blood FSH, LH、 T and the ovuatory rate,pregnancy rat e,abortion rate and adhesion formation.Results:The ovuatory rate was 91.30%,the pregnancy rate was 78. 26%, the abortion rate was 5.56%,the adhesion rate was 38.46%.Conclusions:Laparoscopic ovarian drilling is an effective altern ative treatment in clomiphene-resistant anovulatory women with PCOS. The use of an insulated needle cautery is rapid effective, simple ,safe and less adhesion.
出处
《中国内镜杂志》
CSCD
2003年第6期13-14,共2页
China Journal of Endoscopy
关键词
多囊卵巢综合征
腹腔镜
不孕症
治疗
Polycystic Ovary Syndrome (PCOS)
Laparoscopy
Infertil ity
