文章摘要
经阴道超声卵泡监测在中西医结合治疗多囊卵巢综合征所致不孕的应用价值
Application Value of Transvaginal Ultrasound Follicle Monitoring in the Treatment of Infertility caused by Polycystic Ovarian Syndrome with Integrated Traditional Chinese and Western MedicineFAN Yinping, SONG Yufan, ZHA Wenhui
投稿时间:2021-03-10  修订日期:2021-03-10
DOI:
中文关键词: 卵泡监测  多囊卵巢综合征  胰岛素抵抗  中西医结合
英文关键词: follicle monitoring  polycystic ovarian syndrome  insulin resistance  Integrated Traditional Chinese and Western Medicine
基金项目:
作者单位邮编
范银萍 华中科技大学同济医学院附属同济医院 430030
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中文摘要:
      目的 观察中西医结合治疗多囊卵巢综合征所致不孕的临床效果,分析超声卵泡监测在多囊卵巢综合征诊断和治疗过程中的价值。方法 收集2020年6月到2021年2月期间就诊于我科门诊的多囊卵巢综合征伴胰岛素抵抗的73例患者作为研究对象,所有患者均给予中药联合西药促排治疗,同时于月经第12/13天开始采用经阴道超声监测排卵,所有患者治疗前后共监测 243个周期,观察治疗后患者排卵恢复情况并统计妊娠率。结果 73例患者中治疗后71例恢复正常排卵,恢复排卵患者占比97.2%,共监测了156个促排周期,其中正常排卵周期120个(包含双卵泡排卵周期15次),促排卵成功周期占比76.9%,最终成功妊娠的患者例数为28例,其中3例为双胎妊娠,成功妊娠率为38.3%,排卵前子宫内膜平均厚度(0.9±0.27)cm,卵泡排出时平均大小(2.1±0.23)cm。 结论 和治疗前相比中西医结合可以安全有效恢复患者排卵且促进妊娠,经阴道超声可以直观的观察子宫内膜厚度及卵泡生长情况,可以对排卵日进行预测及干预,指导患者同房,值得临床推广。
英文摘要:
      Objective To observe the clinical effect of integrated traditional Chinese and Western medicine in the treatment of infertility caused by polycystic ovarian syndrome, and to analyze the value of ultrasound follicle monitoring in the diagnosis and treatment of polycystic ovarian syndrome. Methods A total of 73 patients with polycystic ovary and insulin resistance who were treated in our clinic from June 2020 to February 2021 were collected as the research objects. All patients were treated with a combination of Chinese and Western medicines to promote excretion. On the 12th/13th day of menstruation, transvaginal ultrasound was used to monitor ovulation. After 243 cycles before and after treatment,The recovery of ovulation was observed and the pregnancy rate was counted. Conclusion Compared with before treatment, integrated traditional Chinese and Western medicine can safely and effectively restore ovulation and promote pregnancy. Transvaginal ultrasound can directly observe the thickness of the endometrium and the growth of follicles, predict and intervene ovulation day, guide patients to have intercourse, which is worthy of clinical promotion.
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