腹腔镜卵巢打孔术治疗多囊卵巢综合征80例临床分析

Clinical analysis on treatment of polycystic ovarian syndrome by laparoscopic ovarian punch in 80 cases

目的探讨采用腹腔镜卵巢打孔术治疗多囊卵巢综合征(PCOS)的临床疗效和安全性。方法回顾性分析2009年7月至2011年7月采用腹腔镜卵巢打孔术治疗的80例PCOS患者的临床资料,并将采用内科保守治疗的80例患者作为对照组,比较两组患者的治疗效果和安全性。结果观察组72例患者实现正常排卵,53例6个月内妊娠,8例流产,治疗效果明显优于对照组,两组间比较差异具有统计学意义(P<0.05)。观察组治疗时间和治疗费用均低于对照组,两组间比较差异具有统计学意义(P<0.05)。结论采用腹腔镜卵巢打孔术治疗PCOS安全有效,患者术后恢复快,值得临床推广应用。

Objective To study the clinical effect and safety of laparoscopic ovarian punch for treatment of polycystic ovarian syndrome. Methods The clinical data of go cases of polycystic ovarian syndrome treated with laparoscopic ovarian punch as observation group in this hospital during July 2009 to July 2011 were retrospectively analyzed, and compared with 80 patients previously treated by conservative treatment as control group for its effectiveness and safety. Results In observation group, 72 patients achieved normal ovulation, 53 patients with six months pregnancy, 8 with abortion, its effectiveness of treatment was better than that of control group, and the difference between these two groups was statistically significant （ P 〈 0.05）. The therapeutic duration and treatment expenses in observation group were lower than those of control group, and the difference between these two groups was statistically significant （ P 〈 0.05 ）. Conclusion The laparoscopic ovarian punch for treatment of polycystic ovarian syndrome is safe and effective with quick postoperative recovery, and it is worthy to be clinically expansion application.