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目的:分析经阴道B超引导下卵巢穿刺电凝治疗多囊卵巢综合征(PCOS)的疗效。方法:对100例PCOS经药物治疗无效的患者,经阴道B超引导下对未成熟卵泡进行穿刺,并电凝打孔,观察术前、术后黄体生成素(LH)、卵泡刺激素(FSH)、睾酮(T)、雌二醇(E2)变化,术后月经恢复、排卵及妊娠情况。结果:100例患者中98例术后月经明显改善,术后LH、LH/FSH、T、E2值均较术前降低,FSH值明显升高,术前、术后有明显差异,术后排卵率为76.0%,妊娠率为55.0%。结论:经阴道B超引导下穿刺电凝未成熟卵泡,可以改善PCOS患者激素紊乱状态,恢复月经,提高妊娠率,损伤小,是药物治疗失败的有效治疗方法之一。
Objective: To analyze the curative effect of transvaginal ultrasonography guided by ovarian puncture electrocoagulation on polycystic ovary syndrome (PCOS). Methods: 100 cases of PCOS patients who were ineffective in drug treatment were treated with transvaginal ultrasonography guided immature follicles and electrocoagulation perforation. Luteinizing hormone (LH), follicle stimulating hormone (FSH ), Testosterone (T), estradiol (E2), postoperative menstrual recovery, ovulation and pregnancy. Results: In the 100 cases, the postoperative menstruation of 98 cases was significantly improved. The values of LH, LH / FSH, T and E2 after operation were lower than those before operation and the FSH value was significantly increased. There were significant differences before and after operation The rate was 76.0% and the pregnancy rate was 55.0%. Conclusion: Transvaginal ultrasonography guided immature follicle electrocoagulation can improve the disorder of hormone in PCOS patients, restore menstruation, improve the pregnancy rate and reduce the damage. It is one of the effective treatment methods for drug failure.