腹腔镜_____多囊卵巢综合征；不育，女性；腹腔镜

腹腔镜卵巢打孔术治疗难治性多囊卵巢综合征合并不孕

http://www.100md.com 《腹腔镜外科杂志》 2006年第1期

腹腔镜,,多囊卵巢综合征；不育，女性；腹腔镜,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜卵巢打孔术治疗难治性多囊卵巢综合征(PCOS)合并不孕的临床价值、适应证及机理。方法：对符合PCOS标准的不孕症47例采用腹腔镜电针双侧卵巢打孔术，观测术后排卵、妊娠、流产情况，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：术后血清雄激素(T)及黄体生成激素(LH)明显下降，术后排卵率为851%。妊娠率为617%，早期流产率为103%，无1例发生卵巢过度刺激综合征(OHSS)。结论：腹腔镜卵巢打孔术可提高PCOS合并不孕患者的自然排卵率及对克罗米芬的敏感性，从而提高妊娠率，是PCOS不孕症特别是难治性PCOS患者恢复卵巢生理功能的有效手段，但应掌握手术时机和手术指征。术后3个月未妊娠者尽早采用促排卵药物以提高妊娠率。

    【关键词】多囊卵巢综合征；不育，女性；腹腔镜

    Laparoscopic treatment of polycystic ovarian syndrome with insulated needle cautery

    ZHANG Juanjuan,XU Xuelan,ZHOU Yun,et al.

    Minimally Operating Center of Obstetric and Gynecology,People's Hospital of Luohu District,Shenzhen 518001,China

    【Abstract】 Objective:To evaluate the clinical applying value,inclication and mechanism of insulated needle cautery laparoscopy for treatment of polycystic ovarian syndrome(PCOS)in clomipheneresistant anovulatroy women.Methods:Fortyseven patients were clomipheneresistant anovulatory with PCOS.Laparoscopic ovarian drilling use an insulated needle cautery.They were observed the changes of blood FSH,LH,T and the ovuatory rate,pregnancy rate,abortion rate.Results:The ovalation rate was 85.1%,the pregnancy rate was 61.7%,the abortion rate was 10.3%,the level of blood LH and T decreased apparently.Conclusions:Laparoscopic ovarian drilling is an effective alternative treament in clomipheneresistant anovulatroy women with PCOS.The use of an insulated needle cautery is rapid effective,simple,safe,minimal invation and less adhesion. ......

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