腹腔镜下手术结合中医治疗多囊卵巢综合征的临床疗效观察

Clinical Observation of Laparoscopic Surgery Combined with Traditional Chinese Medicine in the Treatment of Polycystic Ovary Syndrome

目的研讨多囊卵巢综合征(PCOS)患者运用腹腔镜手术与中医汤剂联合治疗的临床疗效。方法将我院收治的76例符合标准的PCOS患者随机归入两组(38例/组)试验,Ⅰ组单纯接受腹腔镜下卵巢打孔术治疗,Ⅱ组在腹腔镜手术治疗下接受中医汤剂口服,对比两组临床效果。结果Ⅱ组术后的排卵率为81.6%,妊娠率为52.6%,相比Ⅰ组的排卵率50.0%与妊娠率26.3%均显著提高,比较差异显著(P<0.05)。Ⅰ、Ⅱ组的流产率依次是5.3%和2.6%,比较差异不显著(P>0.05)。术前,两组接受LH、FSH及E2等指标检测,结果比较差异不显著(P>0.05)。结论对PCOS患者实施腹腔镜下卵巢打孔术及中医汤剂联合治疗,能够有效改善患者的性激素水平,提高其术后排卵率及妊娠率,可作为今后妇产科临床治疗PCOS的一种推荐方法。

Objective To investigate the clinical efficacy of laparoscopic surgery combined with traditional Chinese medicine(TCM) in patients with polycystic ovary syndrome(PCOS). Methods 76 cases in our hospital were randomly placed in compliance with PCOS standard two groups(38 cases/group) test, group I underwent laparoscopic treatment, group II received TCM Decoction in laparoscopic surgery, compared two groups of clinical effect. Results The ovulation rate was 81.6%, and the pregnancy rate was 52.6%,compared with the first group, the ovulation rate of 50% and the pregnancy rate of 26.3% were significantly improved, the difference was significant(P<0.05). The abortion rates of group I and II were 5.3% and 2.6%, respectively, and the difference was not significant(P>0.05). Preoperative detection of two group received LH and E2, FSH index, the result is not significant difference(P>0.05). Conclusion For PCOS patients under laparoscopic ovarian drilling and TCM Decoction combined treatment can effectively improve the sex hormone level of patients, improve the ovulation rate and pregnancy rate after operation, can be used as a recommended method in clinical treatment of Obstetrics and Gynecology PCOS.