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分析了我院1995年1月至1996年12月25例难治性多囊卵巢综合征(PCOS)经腹腔镜行卵巢部分切除术及多点打孔术的治疗效果。该组病人76%初潮发病,药物治疗时间在2~10年以上,经腹腔镜手术治疗后,排卵率达85.5%,目前为止,受孕率为52%。术后LH(黄体生成素)、T(睾丸酮)、E(雌激素)浓度均较术前明显下降,与术前平均值比较,P值均<0.01,术后受孕者,各激素下降幅度较大,(P<0.01);病程较长者,手术治疗效果较好。本疗法简单易行、创伤小、恢复快,可重复多次进行,患者易于接受,为困难的PCOS患者提供了新的治疗途径
In our hospital from January 1995 to December 1996 25 cases of refractory polycystic ovary syndrome (PCOS) by laparoscopic ovarian partial resection and multi-puncturing the therapeutic effect. The incidence of 76% of menopausal patients in this group of patients, drug treatment time in 2 to 10 years after laparoscopic surgery, the ovulation rate was 85.5%, so far, the pregnancy rate was 52%. Postoperative LH (luteinizing hormone), T (testosterone), E (estrogen) concentrations were significantly decreased compared with preoperative, and preoperative mean, P values were <0.01, postoperative pregnancy, the hormones decreased (P <0.01). Patients with longer course of disease had better surgical treatment effect. The therapy is simple and easy, less trauma, faster recovery, repeatable multiple times, easy to accept patients, providing a new treatment for patients with difficult PCOS