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目的探讨阴道超声引导行选择性卵泡减少术治疗多囊卵巢综合征(PCOS)患者的临床疗效。方法选取2013年6月至2014年6月于辽宁省本溪市第三人民医院就诊的39例PCOS患者为研究对象,所有患者在阴道超声引导下进行选择性卵泡减少术,比较患者治疗前后内分泌激素水平、卵巢体积、基础窦卵泡计数及妊娠情况。结果行选择性卵泡减少术后患者外周血中LH、T水平及窦卵泡计数均明显低于治疗前,卵巢体积明显小于治疗前,差异均有统计学意义(均P<0.05)。结论阴道超声引导下行选择性卵泡减少术能明显改善PCOS患者的内分泌状况,缩小卵巢体积,减少基础窦卵泡计数,并提高妊娠率,是治疗PCOS安全有效的辅助治疗途径。
Objective To investigate the clinical efficacy of vaginal ultrasound guided selective follicle reduction in the treatment of patients with polycystic ovary syndrome (PCOS). Methods From June 2013 to June 2014, 39 patients with PCOS who were treated in the Third People’s Hospital of Benxi City, Liaoning Province were enrolled in this study. All patients underwent elective vaginal ultrasound-guided reduction of follicles. The changes of endocrine hormones Level, ovarian volume, basal antral follicle count and pregnancy status. Results The levels of LH, T and antral follicles in peripheral blood of patients with selective follicular reduction were significantly lower than those before treatment, and the ovarian volume was significantly smaller than that before treatment (all P <0.05). Conclusions Vaginal ultrasound - guided selective follicle reduction can significantly improve the endocrine status of patients with PCOS, reduce the ovarian volume, reduce the counting of basal antral follicles and improve the pregnancy rate. It is a safe and effective adjuvant therapy for PCOS.