腹腔镜下卵巢双极打孔术治疗PCOS致不孕症的临床分析

Clinical Analysis of the Treatment of Infertility Caused by PCOS by Laparoscopic Bipolar Ovarian Perforation

为探讨腹腔镜下卵巢双极打孔术治疗多囊卵巢综合征(PCOS)致不孕症的临床效果,选取医院2020年7月—2021年12月收治的100例PCOS致不孕症患者,按照随机数字表法分为两组,对照组49例,观察组51例,对照组采用常规治疗,观察组采用腹腔镜下卵巢双极打孔术治疗,比较两组卵巢相关指标、排卵率、妊娠率、并发症发生情况、生活质量及总体幸福感。结果显示,第一,治疗前,两组卵泡生成激素(FSH)、黄体生成激素(LH)等临床指标比较(P>0.05),治疗后,观察组上述指标低于对照组(P<0.05);第二,观察组排卵率、妊娠率均高于对照组(P<0.05);第三,观察组并发症发生率低于对照组(P<0.05);第四,治疗前,两组生活质量评分比较(P>0.05),治疗后,观察组上述评分高于对照组(P<0.05);第五,治疗前,两组总体幸福感各项评分比较(P>0.05),治疗后,观察组上述评分高于对照组(P<0.05)。因此,腹腔镜下卵巢双极打孔术治疗PCOS致不孕症,可改善临床症状,提高妊娠率,效果良好。

Objective:To investigate the clinical effect of laparoscopic bipolar ovarian perforation in the treatment of infertility caused by polycystic ovary syndrome(PCOS).Methods:A total of 100 PCOS-induced infertility patients admitted to our hospital from July 2020 to December 2021 were selected and divided into two groups according to the random number table method:49 cases in the control group,51 cases in the observation group,and the control group Conventional treatment.The observation group was treated with laparoscopic bipolar ovarian perforation.The two groups were compared with ovarian-related indicators,ovulation rate,pregnancy rate,complications,quality of life and overall well-being.Results:①Comparison of clinical indicators such as follicle-forming hormone(FSH)and luteinizing hormone(LH)between the two groups before treatment(P>0.05).After treatment,the above-mentioned indicators in the observation group were lower than those in the control group(P<0.05);②observation The ovulation rate and pregnancy rate of the group were higher than those of the control group(P<0.05);③The incidence of complications in the observation group was lower than that of the control group(P<0.05);④Comparison of the quality of life scores between the two groups before treatment(P>0.05);After treatment,the above scores of the observation group were higher than those of the control group(P<0.05);⑤Before treatment,the overall well-being scores of the two groups were compared(P>0.05);after treatment,the above scores of the observation group were higher than those of the control group(P<0.05).Conclusion:Laparoscopic bipolar ovarian perforation in the treatment of PCOS-induced infertility can improve clinical symptoms and increase pregnancy rate with good results.