Abbasi Aziz-un-Nisa, Sultana Anwar, Izhar Raeesa, Begum Shamshad, Razaq Sadia
Department of Gynae & Obst., Ayub Medical College, Abbottabad.
J Ayub Med Coll Abbottabad. 2003 Oct-Dec;15(4):26-8.
This study was carried out to determine the effectiveness and safety of minilaparotomy and ovarian drilling for sub fertile women with clomiphene resistant polycystic ovarian syndrome.
During a 2 year period (August 2000 to August 2002) 16 patients with polycystic ovarian disease were managed by minilaparotomy and ovarian drilling by diathermy. All the patients underwent full infertility workup and then treated with cyclical clomiphene citrate for 6 months.
Six patients (37.5%) presented in age group 15-25 years. Eight patients (50.0%) were in age group 26-35 years. Only 2 (12.5%) patients presented in age group 36-44 years. Eleven (68.75%) patients had primary infertility. Five (31.25%) patients presented with secondary infertility. After treatment and 6 months follow up, ovulation occurred in 14 (87.5%) patients. Eleven (68.75%) women conceived pregnancy.
Ovarian drilling is a powerful tool in the treatment of polycystic ovarian disease.
本研究旨在确定小切口剖腹术和卵巢打孔术对氯米芬抵抗性多囊卵巢综合征不孕妇女的有效性和安全性。
在2年期间（2000年8月至2002年8月），对16例多囊卵巢疾病患者采用小切口剖腹术和透热法进行卵巢打孔术治疗。所有患者均接受了全面的不孕症检查，然后接受周期性枸橼酸氯米芬治疗6个月。
6例（37.5%）患者年龄在15 - 25岁组。8例（50.0%）患者年龄在26 - 35岁组。只有2例（12.5%）患者年龄在36 - 44岁组。11例（68.75%）患者为原发性不孕。5例（31.25%）患者为继发性不孕。治疗及6个月随访后，14例（87.5%）患者发生排卵。11例（68.75%）妇女怀孕。
卵巢打孔术是治疗多囊卵巢疾病的有效手段。
