Radwan J, Bielak A, Banaszczyk R, Pawlicki J
Kliniki Ginekologii i Rozrodczości Instytutu CZMP w Łodzi.
Ginekol Pol. 2001 Aug;72(8):642-6.
The paper concerns the treatment results of 113 women with PCO-S by laparoscopic (102) and microlaparoscopic (11) ovarian electrocautery. All of them were qualified for operation on the basis of the following criteria: menstrual cycle disturbances (oligo-/amenorrhoea), anovulation, hirsutism, obesity, LH/FSH ratio > 2 and when more than 10 follicles of < 8 mm diameter are seen in the ovary under theca albuginea in USG examination. During the one year after operation these women were observed. In the first group (patients after laparoscopy) ovulation occurred in 86 (84%) and pregnancy in 54 (53%); accordingly in the second group (women after microlaparoscopy) ovulation occurred in 9 (83%) and pregnancy in 4 (45%). The treatment results by microlaparoscopic and laparoscopic ovarian electrocautery are similar, but the method by microlaparoscopy is easier to carry out in selected cases.
本文涉及113例多囊卵巢综合征（PCO - S）女性患者接受腹腔镜（102例）和微型腹腔镜（11例）卵巢电灼术的治疗结果。所有患者均根据以下标准入选手术：月经周期紊乱（月经过少/闭经）、无排卵、多毛症、肥胖、促黄体生成素/促卵泡生成素（LH/FSH）比值>2，以及超声检查发现白膜下卵巢中有超过10个直径<8mm的卵泡。术后一年内对这些女性进行了观察。第一组（腹腔镜手术后患者）86例（84%）出现排卵，54例（53%）怀孕；相应地，第二组（微型腹腔镜手术后女性）9例（83%）出现排卵，4例（45%）怀孕。微型腹腔镜和腹腔镜卵巢电灼术的治疗结果相似，但微型腹腔镜方法在某些特定病例中更易于实施。
