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目的探讨腹腔镜卵巢打孔术治疗多囊卵巢综合征(PCOS)的临床应用价值及特点。方法回顾性分析了28例(年龄24~36岁,不孕年限平均6.5年)近年行腹腔镜卵巢打孔术的PCOS患者的临床资料,观察其术前、术后激素变化情况及术后排卵和妊娠情况。结果腹腔镜卵巢打孔术治疗PCOS术后所有患者LH、FSH和T水平与术前相比均显著性降低(P<0.01),术后自然排卵率为85.7%,追加CC后排卵率为92.9%,妊娠率为46.4%,远高于口服克罗米酚治疗PCOS的疗效。结论腹腔镜卵巢打孔术为治疗PCOS的较佳方案,值得在临床推广使用。
Objective To investigate the clinical value and characteristics of laparoscopic ovarian drilling in the treatment of polycystic ovary syndrome (PCOS). Methods The clinical data of 28 PCOS patients (aged 24-36 years with an average of 6.5 years of infertility) who underwent laparoscopic ovarian drilling were retrospectively analyzed. The changes of preoperative and postoperative hormone levels and postoperative ovulation And pregnancy situation. Results The levels of LH, FSH and T in all patients undergoing laparoscopic ovarian drilling for PCOS were significantly lower than those before operation (P <0.01). The rate of spontaneous ovulation was 85.7% and the rate of ovulation was 92.9 %, Pregnancy rate was 46.4%, much higher than the efficacy of oral clomiphene in the treatment of PCOS. Conclusion laparoscopic ovarian drilling for the treatment of PCOS a better program, it is worth to promote the use of the clinic.