腹腔镜治疗多囊卵巢综合征所致不孕症66例分析

Laparoscopic treatment of polycystie ovay sydrome with insulated needle cantery:clinical anaylsis off 66 cases

目的 探讨腹腔镜下卵巢电凝穿刺术及卵巢楔形切除术对难治性多囊卵巢综合征 (PCOS)所致不孕症的临床应用价值。方法 对 66例PCOS不孕症患者行腹腔镜下卵巢手术 ,观察术后排卵情况、妊娠情况及流产情况 ,比较术前、术后血黄体生成素 (LH)、卵泡刺激素 (FSH)、睾酮 (T)的变化。结果 术后排卵率为 84.5 %,妊娠率5 3 .4%,流产率 9.7%,术后LH和T明显下降 (P <0 .0 1)。结论 腹腔镜下卵巢电凝穿刺术及卵巢楔形切除术具有创伤小、恢复快的特点 ,是治疗对克罗米芬 (CC)抵抗的PCOS无排卵患者的有效方法。

Objective To evaluate the clinical applying value of the ovarian electrocantery and ovarian wedge resection through laparoscopy for treatment of infertility result in polycystie ovarian sydrome(pcos) in elomiphene-resistant.Methods 66 patients with infertility result in pcos were treated through laparoscopy. Research the condition of the ovulation, pregnancy and abortion after the operation. Compare the variety of luteinizing blood hormone (LH). FSH before the operation. To the after the operation .Results The ovalation rate is 84.5%, The pergnaney rate is 53.4%, The abortion rate is 9.7% . The level of blood Lh and T decrease apparently. Conclusions The characteristic of the ovarian. Is less hurted ovarian wedge resection through laparoscopy is less hurted and rapid effective. Which us the effective alterment in clomiohene-resustant anovulatory women with pcos.