腹腔镜下卵巢打孔术、枸橼酸氯米芬联用对难治性多囊卵巢综合征的治疗价值分析

Treatment value analysis of laparoscopic ovarian drilling and clomiphene citrate in the treatment of polycystic ovary syndrome

目的:探讨腹腔镜下卵巢打孔术、枸橼酸氯米芬联用对难治性多囊卵巢综合征的治疗效果。方法:收治难治性多囊卵巢综合征患者70例,随机分为两组。对照组给予枸橼酸氯米芬治疗,观察组给予腹腔镜下卵巢打孔术联合枸橼酸氯米芬治疗。比较两组雌激素水平、自然排卵率、妊娠率、流产率。结果:观察组治疗后LH、T水平低于对照组,差异有统计学意义(P<0.05)。观察组自然排卵率、妊娠率高于对照组,流产率明显低于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜下卵巢打孔术联合枸橼酸氯米芬联合治疗难治性多囊卵巢综合征的临床效果显著。

Objective:To evaluate the clinical effect of laparoscopic ovarian drilling and clomiphene citrate in the treatment of polycystic ovary syndrome(PCOS).Methods:70 cases of patients with refractory polycystic ovary syndrome were divided into two groups randomly.The control group was treated with clomiphene citrate,and the observation group was treated with laparoscopic ovarian drilling combined with crophene citrate,the level of estrogen,natural ovulation rate,pregnancy rate and abortion rate were compared between the two groups.Results:After treatment,the levels of LH and T in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The natural ovulation rate and pregnancy rate in the observation group were higher than those in the control group,and the abortion rate was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic ovarian drilling combined with clomiphene citrate was effective in the treatment of refractory polycystic ovary syndrome.