中西医结合治疗多囊卵巢综合征55例超声观察.docVIP

中西医结合治疗多囊卵巢综合征55例超声观察【摘要】 目的 通过超声检测探讨中西医结合治疗多囊卵巢综合征（PCOS）的临床疗效。方法 多囊卵巢综合征患者105例，随机分成两组，对照组50例，采用纯西医治疗，治疗组55例，在此基础上配合中药治疗，经超声检测其卵泡发育情况。结果 患者排卵期间子宫内膜厚度及卵泡发育检测结果两组间差异无统计学意义(P＞0.05)；妊娠率差异有统计学意义(P＜0.05)。结论 中西医联合治疗多囊卵巢综合征可以调整月经周期，提高妊娠率，应用超声波对多囊卵巢综合征患者的检查有助于了解卵巢和子宫内膜的动态变化。 【关键词】 多囊卵巢综合征；中西医结合疗法；超声波监测 Observation the effect of polycystic ovarian syndrome by combination treatment of Chinese traditional and western medicine by ultrasonogram ZHAO Yi-ling,LI Xian-hua，WEN Li-juan.Center of Gynecology and Pediatrics,the Affiliated Hongqi Hospital of Mudanjiang Medical College， Heilongjiang 157011,China 【Abstract】 Objective To study the effect of polycystic ovarian syndrome(PCOS) treated by traditional chinese medicine and western medicine by ultrasonic detection.Methods 105 patients with PCOS were randomly divided into two groups，50 patients in one group were treated by western medicine while 55 patients in another group were treated by chinese traditional and western medicine.Results There were significant difference between the two groups in endometrium and ovarian follicles in the period of ovulation.But the difference between the two groups in fertile rate was notable.Conclusion Using combinative treatment of chinese traditional and western medicine had the effect of regulating the menstrual cycle and raising the fertile rate in treating PCOS.And the dynamic change of ovary and endometrium in patients with PCOS could be detected by ultrasonogram. 【Key words】 Polycystic ovarian syndrome；Combinative treatment of Chinese and Western medicine；Ultrasonic monitoring 多囊卵巢综合征是育龄期妇女最常见的内分泌紊乱疾病，其发病率占生育年龄妇女的5%～10％[1]，是引起不排卵性不孕的主要原因，是一个具有高度异质性、临床表现多样性的疾病。本病以持续性无排卵和雄激素过多为主要特点，伴随黄体生成素（LH）水平升高、高胰岛素、胰岛素抵抗等。临床表现为月经稀发、不孕、多毛、肥胖、痤疮等，进一步出现2型糖尿病、高脂血症、高血压病和心血管病。其病因复杂，临床表现多样，治疗根本方法是恢复排卵，首选克罗米芬，但克罗米芬促排卵存在排卵率高、妊娠率低的特点，同时会引起卵泡过度刺激症，常致治疗失败。为探讨治疗多囊卵巢综合征新方法，我院自2002年5月至2006年6月采用克罗米芬和调经促孕丸联合治疗多囊卵巢综合征，并同时应用超声波监测其卵巢内卵泡发育及子宫内膜变化情况105例，现报告如下。 1 资料与方法 1.1 一般资料 本组病例为因不孕、月经不调等症状来我院就诊的患者，对其进