多囊卵巢综合征手术治疗的利与弊被引量：12

Surgical treatment of polycystic ovary syndrome:pros and cons

导出

摘要多囊卵巢综合征是育龄期妇女最常见的一种内分泌紊乱性疾病,排卵障碍是该类患者不育的主要原因,常用解决方法为促排卵治疗。促排卵药物,例如氯米芬临床效果好,普遍采用。但是,部分患者耐药。手术治疗,特别是腹腔镜下卵巢打孔术是目前用于氯米芬耐药的多囊卵巢综合征患者促排卵治疗的二线治疗方案,本文就卵巢手术的主要方式、腹腔镜下卵巢打孔术的适应人群、术后效果及手术并发症进行简单概括。 Polycystic ovary syndrome is one of the most common endocrine abnormality in women in their reproductive age. Anovulation is the main cause of infertility with PCOS. Ovulation induction is a popular way to solve the problem. Medicine used for ovulation induction such as Clomiphene citrate is an effective therapy, but it doesn ＂t work sometimes in some patients. The ovarian surgery, especially laparoscopic ovarian drilling is employed as the secondline therapy for ovulation induction in clomiphenecitrate -resistant patients with polycystic ovary syndrome. This article summarized the procedure of ovarian surgery, applications, efficacy and post-ope ative complications.

作者蒋建发孙爱军

机构地区中国医学科学院中国协和医科大学北京协和医院妇产科

出处《中国实用妇科与产科杂志》 CAS CSCD 北大核心 2013年第11期856-860,共5页 Chinese Journal of Practical Gynecology and Obstetrics

关键词多囊卵巢综合征腹腔镜下卵巢打孔术不孕 polycystic ovary syndrome laparoscopic ovarian drilling infertility

分类号 R711.75 [医药卫生—妇产科学]

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