多囊卵巢综合征患者促排卵治疗中基础窦卵泡数量的影响  

The effect of basal sinus follicle number on ovulation induction therapy in patients with polycystic ovary syndrome

作　　者：齐洋[1] 杨梦琪 Qi Yang;Yang Mengqi(Department of Gynecology,Huangchuan People's Hospital of Xinyang City in Henan Province,Huangchuan 465150,China;Department of Gynecology,Xinyang Central Hospital,Xinyang 464000,China)

机构地区：[1]河南省信阳市潢川县人民医院妇科,河南潢川465150 [2]信阳市中心医院妇科,河南信阳464000

出　　处：《实用妇科内分泌电子杂志》2023年第9期8-10,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究多囊卵巢综合征患者促排卵治疗中基础窦卵泡数量的影响。方法选取30例多囊卵巢综合征患者,按照患者基础窦卵泡数(AFC)不同分为甲组(AFC≤20个)、乙组(AFC>20个),各15例。对比两组患者促排卵治疗效果。结果甲组促排卵药物使用总时间短于乙组,治疗后多优势卵泡周期取消率、无优势卵泡周期取消率低于乙组,单优势卵泡率高于乙组(P<0.05)。甲组治疗后排卵率53.33%、妊娠率40.00%均高于乙组的13.33%、6.67%,卵巢过度刺激综合征发生率低于乙组(P<0.05),两组均无多胎发生。结论较少基础窦卵泡数量的多囊卵巢综合征患者的促排卵治疗效果较明确,故采取促排卵治疗前,宜采取其他辅助治疗,促进基础窦卵泡数量减少,进而改善预后。Objective To explore the effect of basal sinus follicle number on ovulation induction therapy in patients with polycystic ovary syndrome.Methods 30 patients with PCOS were selected and divided into group A(AFC≤20)and group B(AFC>20)according to the number of basal sinus follicles,15 cases in each group.The effect of ovulation stimulating treatment was compared between the two groups.Results The total duration of ovulation stimulating drug use in group A was shorter than that in group B,the rate of multi-dominant follicle cycle cancellation and non-dominant follicle cycle cancellation were lower than those in group B,and the rate of single-dominant follicle cycle cancellation was higher than that in group B(P<0.05).After treatment,ovulation rate of 53.33%and pregnancy rate of 40.00%in group A were higher than 13.33%and 6.67%in group B,the incidence of ovarian hyperstimulation syndrome was lower than that in group B(P<0.05),and no multiple births occurred in both groups.Conclusion The effect of ovulation induction therapy is more clear in PCOS patients with fewer basal sinus follicles.Therefore,before ovulation induction therapy,other adjuvant therapy should be taken to promote the reduction of the number of basal sinus follicles and improve the prognosis.

关 键 词：多囊卵巢综合征 促排卵治疗 预后 

分 类 号：R711.75[医药卫生—妇产科学]