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卵泡穿刺配合人工授精治疗多囊卵巢综合征引起的不孕
引用本文:杨菁,徐望明,龙文,苏红,李鸣.卵泡穿刺配合人工授精治疗多囊卵巢综合征引起的不孕[J].武汉大学学报(医学版),2004,25(5):596-598.
作者姓名:杨菁  徐望明  龙文  苏红  李鸣
作者单位:武汉大学人民医院生殖医学中心,武汉,430060;武汉大学人民医院生殖医学中心,武汉,430060;武汉大学人民医院生殖医学中心,武汉,430060;武汉大学人民医院生殖医学中心,武汉,430060;武汉大学人民医院生殖医学中心,武汉,430060
摘    要:目的 :探讨一种有效治疗多囊卵巢综合征 (PCOS)性不孕。方法 :对 12例PCOS患者 15个周期采用促性腺激素刺激卵泡发育 ,配合经阴道B超下卵泡穿刺术释放卵子 ,再行人工授精的方案治疗。结果 :治疗周期中获得妊娠 4例 ,妊娠率为 2 6 .6 7% ;治疗后第 2次月经周期中 1例自然妊娠 ,其它病例在 3个月内月经恢复正常 ,但之后 5例月经周期延长 ,2例复发闭经 ;患者血中LH和睾酮值治疗后明显低于治疗前 (P <0 .0 5 )。结论 :卵泡穿刺配合人工授精 ,能迅速阻断PCOS的病理环节 ,具有创伤较小、疗效确切、简便等优点 ,可作为治疗PCOS性不孕一种选择。

关 键 词:多囊卵巢综合征  卵泡穿刺  人工授精
文章编号:1671-8852(2004)05-0596-03
修稿时间:2003年11月8日

Treatment of Ovarian Follicle Puncture and Artificial Insemination on Polycystic Ovary Syndrome Induced Infertility
Yang Jing,Xu Wangming,Long Wen,et alCenter of Reproductive Medicine,Reming Hospital,Wuhan University,Wuhan ,China.Treatment of Ovarian Follicle Puncture and Artificial Insemination on Polycystic Ovary Syndrome Induced Infertility[J].Medical Journal of Wuhan University,2004,25(5):596-598.
Authors:Yang Jing  Xu Wangming  Long Wen  Center of Reproductive Medicine  Reming Hospital  Wuhan University  Wuhan  China
Institution:Yang Jing,Xu Wangming,Long Wen,et alCenter of Reproductive Medicine,Reming Hospital,Wuhan University,Wuhan 430060,China
Abstract:Objective: To assess an effective method for treating polycystic ovary syndrome (PCOS) induced infertility.Methods: 15 cycles of 12 patients with PCOS induced infertility were performed with ovulation induction, follicle drilling and artificial insemination. Results: 4 patients gained clinical pregnancy in the treating cycle. The pregnant rate was 26.67%. One was an addition to pregnant cases in the second cycle. The others had a normal menstruation within 3 months, but after then, 5 patients appeared oligomenorrhea and 2 had amenorrhea. Blood luteinizing hormone(LH) and testosterone levels of the patients after ovarian follicle puncture treatment were lower than those before. Conclusion: The treating program can inhibit PCOS pathophysiological process. It is a simple, safe and effective method for treating PCOS induced infertility.
Keywords:polycystic ovary syndrome  ovary follicle puncture  artificial insemination
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