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目的探讨腹腔镜下卵巢打孔术治疗多囊卵巢综合征(PCOS)的临床疗效。方法对22例PCOS患者行腹腔镜下双侧卵巢打孔术,手术前后检测患者相关性腺激素水平,持续随访6～28个月,监测排卵及受孕情况。结果腹腔镜下卵巢打孔术治疗PCOS,术后激素水平变化差异有统计学意义(P<0.05),术后排卵率及妊娠率明显提高。结论腹腔镜下卵巢打孔术是PCOS药物治疗外的有效治疗手段。
Objective To investigate the clinical effect of laparoscopic ovarian drilling on polycystic ovary syndrome (PCOS). Methods Twenty-two PCOS patients underwent laparoscopic bilateral ovarian drilling. The levels of gonadal hormones in patients with PCOS were detected before and after surgery. The patients were followed up for 6 to 28 months to monitor ovulation and pregnancy status. Results Laparoscopic ovarian drilling in the treatment of PCOS, postoperative hormone levels were significantly different (P <0.05), postoperative ovulation and pregnancy rates were significantly increased. Conclusion Laparoscopic ovarian drilling is an effective treatment of PCOS outside the treatment.