腹腔镜电灼打孔治疗难治性多囊卵巢综合征的临床效果观察

The treatment of polycystic ovary syndrome with Laparoscopic ovarian electrocauterization

目的:观察腹腔镜下电灼打孔术治疗难治性多囊卵巢综合征的效果。方法:选择药物治疗无效的多囊卵巢综合征患者43例,在腹腔镜下对多囊卵巢电灼打孔,术后克罗米芬促排卵治疗,观察血T、LH、FSH水平的变化及月经恢复情况、术后排卵率、妊娠率。结果:患者术后血T、LH水平下降,LH/FSH比值下降,差异有显著性(P<0.01);术后月经情况明显改善,83.72%患者恢复正常月经周期,术后排卵率82.72%,妊娠率为60.47%。结论:腹腔镜下电灼打孔术治疗难治性多囊卵巢综合征具有操作简单、创伤小、康复快的特点,为难治性多囊卵巢综合征的治疗提供了有效的方法。

Objective： To study the significance of the treatment of hard -cuted polycystic ovary syndrome （PCOS） with Laparoscopic ovarian electrocauterization. Methods： 43 patients with PCOS who were inefficacy with drug treatment were operated by Laparoscopic ovarian electrocauterization and applied clomiphene to promote ovulation postoperation.. The change of the level of T, LH, FSH in blood , the ovulation rate and pregnant rate were observed. Results： There was significant reduction in the level of T, LH , FSH in blood and LH/FSH after operation （P 〈 0.01 ） . 83.72% patients recover the normol menses cycle. . The ovulation rate and pregnant rate was 82. 72%, 60. 47% respectively. Conclusion： Laparoscopic ovarian electrocauterization has several advantages of easier operated, small wound, quickier recovery and it is an effective treatment for hard - cuted polycystic ovary syndrome.