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目的探讨腹腔镜手术及术后及时加用克罗米芬(CC)和人绒毛膜促性腺素(HCG)促排卵治疗对单一用CC治疗无效的PCOS患者的疗效。方法将25例用CC治疗无效的PCO患者采用电视腹腔镜下卵巢多点穿刺、内凝法及术后加用CC+HCG促排卵治疗。结果25例患者中共18例妊娠,妊娠率72%。结论腹腔镜穿刺、内凝卵巢辅以促排卵治疗对单一用克罗米芬治疗无效的PCOS病人有较好疗效。
Objective To investigate the curative effect of laparoscopic surgery and timely administration of clomiphene citrate (C C) and human chorionic gonadotropin (HCG) on ovulation induction in patients with PCOS who were treated with C C alone. Methods Twenty-five patients with PCO who were ineffective with CC were treated with laparoscopic ovarian puncture, internal coagulation and postoperative C C + HCG ovulation induction therapy. Results A total of 18 cases of pregnancy in 25 patients, the pregnancy rate was 72%. Conclusions Laparoscopic puncture and internal coagulation ovary supplemented with ovulation induction treatment have a good curative effect on single invalid PCOS patients treated with clomiphene.