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目的探讨腹腔镜手术治疗多囊卵巢综合征(PCOS)合并不孕症的疗效。方法分析54例多囊卵巢综合征合并不孕的临床资料,采用腹腔镜手术治疗,检测手术前后血清促卵泡生成素(FSH)、黄体生成素(LH)、睾酮(T)、雌二醇(E)水平并进行对比分析,观察术后排卵情况及妊娠率。结果术后1个月血清LH、LH/FSH、T显著下降(P<0.05),总排卵率为81.5%,总妊娠率70.3%,流产率7.4%。结论腹腔镜手术治疗氯米芬抵抗的多囊卵巢综合征合并不孕是有效快捷的治疗方法。
Objective To investigate the efficacy of laparoscopic surgery for polycystic ovary syndrome (PCOS) with infertility. Methods The clinical data of 54 cases with polycystic ovary syndrome complicated with infertility were analyzed and analyzed by laparoscopy. The levels of serum follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T) and estradiol E) levels and comparative analysis, observation of ovulation and pregnancy rate. Results Serum LH, LH / FSH and T were significantly decreased (P <0.05) at 1 month after operation. The total ovulation rate was 81.5%, the total pregnancy rate was 70.3% and the abortion rate was 7.4%. Conclusion Laparoscopic surgery for the treatment of clomiphene resistant polycystic ovary syndrome with infertility is an effective and quick method of treatment.