经阴道超声监测针刺联合药物对多囊卵巢综合征患者的治疗效果  

Therapeutic effect of combination of acupuncture and medicine on patients with polycystic ovary syndrome monitored by transvaginal ultrasound

作　　者：张典润 刘晖[1] 曾令红 王菊花 王英 ZHANG Dianrun;LIU Hui;ZENG Linghong;WANG Juhua;WANG Ying(School of Medical Imaging,Changsha Medical University,Changsha 430100,China;Department of Ultrasound,the First Affiliated Hospital of Changsha Medical University,Changsha 430100,China;Department of Gynecology and Obstetrics of Traditional Chinese Medicine,the First Affiliated Hospital of Changsha Medical University,Changsha 430100,China)

机构地区：[1]长沙医学院医学影像学院,湖南长沙430100 [2]长沙医学院附属第一医院超声科,湖南长沙430100 [3]长沙医学院中医妇产科,湖南长沙430100

出　　处：《分子影像学杂志》2023年第4期627-631,共5页Journal of Molecular Imaging

基　　金：国家级大学生创新创业训练计划项目(教高司函[2022]10号-202210823018)。

摘　　要：目的采用经阴道超声检查方式动态监测多囊卵巢综合征不孕症患者的卵泡发育情况,探讨针药联合治疗方法的临床价值,为临床治疗提供进一步指导依据。方法选取2020年9月~2022年9月我院收治的多囊卵巢综合征妇女44例进行回顾性研究,按照药物与针药联合的方法将患者分成两组:其中21例患者采用西医常规疗法治疗(对照组),23例患者采用针刺联合西医常规疗法治疗(观察组)。观察两组患者治疗3月内排卵的状况、临床妊娠情况、影像学表现。结果治疗3月后,对照组和观察组总有效率分别为66.67%和82.60%,排卵率分到为52.38%和78.26%,妊娠率分别为28.57%和43.48%。观察组中的卵巢体积、卵泡数量、最大卵泡直径等均优于对照组(P<0.05)。观察组中的排卵的成功率、妊娠率均高于对照组,差异均有统计学意义(P<0.05)。结论经阴道超声动态监测下,准确观察患者的卵泡发育情况,为临床对多囊卵巢综合征不孕症患者的诊疗提供指导,有效提高患者受孕率。Objective The development of follicles in infertile patients with polycystic ovary syndrome was dynamically monitored by transvaginal ultrasonography,and the clinical value of combined acupuncture and drug therapy was discussed to provide further guidance for clinical treatment.Methods forty-four cases of polycystic ovary syndrome women admitted to our hospital from September 2020 to September 2022 were retrospectively studied.A total of 44 cases were divided into two groups according to the combination of medicine and acupuncture,of which 21 patients were treated with conventional western medicine(control group)and 23 patients were treated with acupuncture combined with conventional Western medicine(observation group).Ovulation,clinical pregnancy and imaging manifestations were observed in 2 groups within 3 months after treatment.Results After 3 months of treatment,the total effective rate of the control group and the observation group was 66.67%and 82.60%,the ovulation rate was 52.38%and 78.26%,the pregnancy rate was 28.57%and 43.48%,respectively.The ovarian volume,number of follicles and maximum follicle diameter in the observation group were better than those in the control group(P<0.05).The ovulation success rate and pregnancy rate in the observation group was higher than those in the control group.The differences were statistically significant(P<0.05).Conclusion Under the dynamic monitoring of transvaginal ultrasound,the follicular development of patients can be accurately observed,which provides guidance for clinical diagnosis and treatment of polycystic ovary syndrome infertility patients,effectively improves the pregnancy rate of patients.

关 键 词：经阴道超声 针药联合 多囊卵巢综合征 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.75[医药卫生—诊断学]