腹腔镜手术治疗多囊卵巢综合征52例临床分析

Analysis of the treatment of 52 patiants with polycystic ovary syndrome (PCOS) with Laparoscopic ovarian electrocauterization or wedge ovary resection

目的探讨腹腔镜下双侧卵巢打孔术或卵巢楔形切除对多囊卵巢综合征(PCOS)的治疗效果及术前、术后激素水平测定的意义。方法对52例PCOS患者在腹腔镜下行卵巢打孔术或卵巢楔形切除术,术前、术后检测血清雄激素、促黄体生成素、促卵泡生成素的变化,并观察排卵率、妊娠率。结果患者术后血清雄激素、促黄体生成素明显下降,术后排卵率为80.8%,妊娠率为63.4%。结论腹腔镜下双侧卵巢打孔术或卵巢楔形切除具有损伤小、粘连轻、恢复快、疗效高的特点,是治疗PCOS的有效方法。

Objective To study the significance of polycystic ovary syndrome （PCOS） with Laparoscopic ovarian eiectrocauterization or wedge ovary resection. Methods 52patients With PCOS were operated by Laparoscopic ovarian eiectrecauterization or wedge ovary resection. The change of the level of T, LH, FSH were observerd in blood and the ovulation rate, pregnant rate were observed. Results There was significant reduction in the level of T, LH in blood and the ovulation rate, pregnant rate was 80.8%, 63.4% respectively. Conclusions Laparoscopic ovarian eiectrocautefization has serverral advantages of small wound, litte conglutination, quick recovery and it is an effective treatment of PCOS.