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目的:评价经阴道超声引导穹隆穿刺抽吸无效卵泡治疗多囊卵巢综合征(PCOS)疗效。方法:应用彩色多普勒超声检测48例PCOS患者治疗前后卵巢最大面积、卵泡计数;子宫及卵巢动脉阻力指数(R I)、搏动指数(PI);并检查治疗前后黄体生成素(LH)、促卵泡激素(FSH)、睾酮(TTE)。结果:穿刺治疗后卵巢最大面积减小,无效卵泡数明显减少;子宫和卵巢动脉R I、PI较治疗前降低;血清LH、TTE、LH/FSH值降低,FSH值升高;与治疗前比较差异均具有显著性意义。结论:经阴道超声引导穹隆穿刺抽吸无效卵泡,可显著改善PCOS患者性激素水平、卵巢形态及子宫卵巢血液供应,使卵巢成熟卵泡生成,治疗效果显著。
Objective: To evaluate the curative effect of transvaginal ultrasound-guided vault puncture and aspiration of follicles in the treatment of polycystic ovary syndrome (PCOS). Methods: The maximum ovarian area, follicle count, uterine and ovarian artery resistance index (RI) and pulsatility index (PI) of 48 PCOS patients before and after treatment were detected by color Doppler ultrasonography. The levels of luteinizing hormone (LH) Follicle-stimulating hormone (FSH), testosterone (TTE). Results: The maximum area of ovary decreased and the number of invalid follicles decreased significantly after puncture. The RI and PI of uterine and ovarian arteries decreased before treatment, the serum LH, TTE, LH / FSH decreased and FSH increased. Compared with those before treatment All have significant significance. Conclusion: Transvaginal ultrasound-guided vault puncture and suction of invalid follicles can significantly improve the level of sex hormones, ovarian morphology and uterine ovarian blood supply in patients with PCOS, so that ovarian mature follicles are generated and the therapeutic effect is remarkable.