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应用腹腔镜诊治子宫内膜异位症并多囊卵巢综合征
引用本文:石丽云,何芳,王玉洁,王国平. 应用腹腔镜诊治子宫内膜异位症并多囊卵巢综合征[J]. 中国基层医药, 2009, 16(4): 625-626. DOI: 10.3760/cma.j.issn.1008-6706.2009.04.028
作者姓名:石丽云  何芳  王玉洁  王国平
作者单位:北京大学深圳医院妇产科,汕头大学医学院,广东省深圳,518036
摘    要:目的评价腹腔镜在诊治子宫内膜异位症(内异症)合并多囊卵巢综合征(PCOS)中的价值。方法选取内异症合并PCOS33例,腹腔镜下进行子宫内膜异位病灶电灼和卵巢穿刺打孔术,并对其进行随访。结果33例患者月经恢复正常30例,达90.9%,痛经全部缓解,缓解率达100%,监测排卵29例恢复自然排卵,恢复率达87.9%,20例妊娠,妊娠率达60.6%。结论内异症合并PEOS的临床症状多不典型,腹腔镜对其有较大的诊断及治疗价值,经腹腔镜手术处理后可获得较高的临床症状缓解率及妊娠率。

关 键 词:子宫内膜异位症  多囊卵巢综合征  腹腔镜检查

Clinical studies on the endometriosis complicated with polycyslic ovary
SHI Li-yun,HE Jue,WANG Yu-jie,WANG Guo-ping. Clinical studies on the endometriosis complicated with polycyslic ovary[J]. Chinese Journal of Primary Medicine and Pharmacy, 2009, 16(4): 625-626. DOI: 10.3760/cma.j.issn.1008-6706.2009.04.028
Authors:SHI Li-yun  HE Jue  WANG Yu-jie  WANG Guo-ping
Affiliation:SHI Li-yun,HE Jue, WANG Yu-jie,WANG Guo-ping(Department Gynecology and Obstetrics, Beijing University Shenzhen Hospital, Shenzhen and Shantou Medical College, Shenzhen, Guangdong 518036, China)
Abstract:Objective To study and evaluate the clinical effect of laparoscopic therapy in endometriosis com-plicated with polycystic ovary. Methods To retrospectively analyze 33 cases of endometriosis complicated with poly-cystic ovary and observe the results of symptomatic relief rate and pregnancy rate after laparoscopic therapy. Results The postoperative eumenorrhca rate, dysmenorrhea relief rate, auto-ovulation rate and pregnancy rate were 90.9%, 100% ,87.9% and 60.6% respectively. Conclusions The clinical symptoms of endometriosis complicated with polyeystic ovary are not predominance. This study confirms the laparoscopic therapy in endometriosis complicated with polycystic ovary is an effective approach to increase the symptomatic relief rate and pregnancy rate.
Keywords:Endometriosis  Polycystic ovary syndrome  Laparoscopy
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