腹腔镜卵巢打孔术联合中药治疗多囊卵巢综合征不孕的疗效分析  

Analysis on curative effect of laparoscopic ovarian drilling combined with traditional Chinese medicine in treatment of infertile patients with PCOS

作　　者：郭政[1] 王丽英 李华[1] 

机构地区：[1]山西中医学院,山西太原030024 [2]山西现代妇产医院

出　　处：《中国妇幼保健》2015年第12期1931-1932,共2页Maternal and Child Health Care of China

基　　金：山西省科技厅科技攻关项目〔20140313009-8〕

摘　　要：目的：观察腹腔镜卵巢打孔术（LOD）联合中药治疗多囊卵巢综合症（PCOS）不孕的疗效。方法：选取2010年1月-2012年6月因PCOS不孕行LOD治疗的48例患者为LOD组,同时选择2012年7月-2014年12月PCOS不孕行LOD＋中药治疗的50例患者为LOD＋中药组,观察两组术后6个月内的排卵率和术后1年内的妊娠率。结果：LOD＋中药组排卵率为86.00%（258/300）、妊娠率70.00%（35/50）,LOD组排卵率为68.05%（196/288）、妊娠率为47.92%（23/48）,两组比较,差异有统计学意义（χ^2=4.48、4.94,P均〈0.05）。结论：PCOS不孕LOD术后半年内及时利用内分泌环境的改善,辅以补肾、健脾、祛痰、调经中药,可提高PCOS不孕患者的排卵率和妊娠率。Objective： To observe the curative effect of laparoscopic ovarian drilling（ LOD） combined with traditional Chinese medicine（ TCM） in treatment of infertile patients with polycystic ovary syndrome（ PCOS）. Methods： Forty-eight infertile patients with PCOS treated by LOD in the hospital from January 2010 to June 2012 were selected as LOD group; fifty infertile patients with PCOS treated by LOD combined with TCM from July 2012 to December 2014 were selected as LOD＋TCM group. The ovulation rates within six months and the pregnancy rates within one year after operation in the two groups were observed. Results： The ovulation rate and pregnancy rate in LOD＋TCM group were 86. 00%（ 258 / 300） and 70. 00%（ 35 / 50）,respectively; the ovulation rate and pregnancy rate in LOD group were68. 05%（ 196 / 288） and 47. 92%（ 23 / 48）,respectively,there were statistically significant differences between the two groups（ χ^2= 4. 48,P〈0. 05; χ^2= 4. 94,P0. 05）. Conclusion： Improvement of endocrine environment within half a year after LOD combined with TCM of notifying kidney and spleen,eliminating phlegm,and regulating menstruation can improve the ovulation rate and pregnancy rate of infertile patients with PCOS.

关 键 词：多囊卵巢综合征 不孕症 腹腔镜卵巢打孔术 中药 

分 类 号：R711.6[医药卫生—妇产科学]