Hirano Yuki, Shibahara Hiroaki, Takamizawa Satoru, Suzuki Izumi, Yamanaka Seiji, Suzuki Tatsuya, Fujiwara Hiroyuki, Suzuki Mitsuaki
Department of Obstetrics and Gynecology, Jichi Medical School, Tochigi, Japan.
Reprod Med Biol. 2003 Mar 25;2(1):37-40. doi: 10.1046/j.1445-5781.2003.00018.x. eCollection 2003 Mar.
Since transvaginal hydrolaparoscopy (THL) was introduced as the first-line procedure in the early stage of the exploration of the tubo-ovarian structures in infertile women, it has been shown that THL is a less traumatic and a more suitable outpatient procedure than diagnostic laparoscopy. In the present study, a minimally invasive surgery was carried out in infertile women with polycystic ovary syndrome (PCOS) by THL. Ovarian drilling using Nd:YAG laser vaporization by THL was performed in two clomiphen citrate-resistant infertile women with PCOS. After ovarian drilling with THL, a patient recovered an ovulatory cycle. These findings suggest that ovarian drilling by THL seems to be a safe procedure in infertile women with PCOS. However, further investigations are required to evaluate the effectiveness and risks of this minimally invasive operation. (Reprod Med Biol 2003; : 37-40).
自从经阴道水腹腔镜检查（THL）作为不孕女性输卵管卵巢结构探查早期的一线手术方法被引入以来，已表明THL与诊断性腹腔镜检查相比，是一种创伤较小且更适合门诊进行的手术。在本研究中，通过THL对患有多囊卵巢综合征（PCOS）的不孕女性实施了微创手术。对两名克罗米芬耐药的PCOS不孕女性采用THL进行钕钇铝石榴石（Nd:YAG）激光汽化卵巢打孔术。经THL卵巢打孔术后，一名患者恢复了排卵周期。这些发现表明，对于患有PCOS的不孕女性，经THL进行卵巢打孔似乎是一种安全的手术。然而，需要进一步研究来评估这种微创手术的有效性和风险。（《生殖医学与生物学》2003年；：37 - 40）
