David Cristina, Lupaşcu Ivona, Vegheş Simina
Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Clinica a IIa Obstetrică-Ginecologie.
Rev Med Chir Soc Med Nat Iasi. 2008 Jan-Mar;112(1):136-41.
THE AIM of this study was to demonstrate the efficiency of laparoscopic ovarian drilling in the treatment of Polycystic Ovarian Syndrome (PCOS) associated with infertility.
We studied 54 patients with PCOS that also presented infertility and menorrhea. The PCOS was diagnosed by ultrasound in the 2nd Clinic of Obstetrics and Gynaecology in Iaşi, using Bataglia and ASRM/ESHRE criteria. We selected 32 patients with PCOS and infertility, in which medical treatment with inductors of ovulation and Metformin failed and laparoscopy was indicated. In these patients we practiced bilateral laparoscopic ovarian drilling.
In the next 3 months the menstrual cycle became regulated and 3 of the patients became pregnant. Other 10 patients became pregnant in the next 9 months after laparoscopic ovarian drilling.
PCOS associated with infertility should be laparoscopy treated because the effect is faster and the fertility prognosis is better.
本研究的目的是证明腹腔镜卵巢打孔术治疗与不孕症相关的多囊卵巢综合征（PCOS）的有效性。
我们研究了54例患有PCOS且伴有不孕和月经不调的患者。PCOS由雅西第二妇产科诊所通过超声诊断，采用巴塔利亚和美国生殖医学学会/欧洲人类生殖与胚胎学会标准。我们选择了32例患有PCOS和不孕症的患者，这些患者使用促排卵药物和二甲双胍治疗失败且需要进行腹腔镜检查。在这些患者中，我们实施了双侧腹腔镜卵巢打孔术。
在接下来的3个月内，月经周期恢复正常，3例患者怀孕。另外10例患者在腹腔镜卵巢打孔术后接下来的9个月内怀孕。
与不孕症相关的PCOS应采用腹腔镜治疗，因为其效果更快且生育预后更好。
Zotero 插件