ClinicalobservationofChinesemedicinecycletherapycombinedlaparoscopicovariandrillingphlegmrefractorypolycysticovarysyndromeAuthor:YeduiMinXuLaiMianLuRuling[Abstract]observedlaparoscopicsurgerycombinedwithtraditionalChinesemedicinecycletherapyclinicalefficacyforthetreatmentofphlegmrefractorypolycysticovarysyndrome(PCOS).[Method]40patientswithPCOSwererandomlydividedintoA,B,Cgroup.Agroup20weretreatedwithlaparoscopicsurgeryplusChinesemedicinecycletherapy;Bgroup,10casesoflaparoscopicsurgeryCanwestdruginducedovulation;Cgroupof10patientswithsimplelaparoscopicsurgery.3groupswereobservedinpatientswithhormonechangesandovulation,pregnancyrate[Results]Agroupofyellowbodygenerateprime(LH,androgen(Ttreatmentbeforeandaftercomparison,differencestherearesignificantwithsexualsignificance(P<0.05),B,CgroupofLH,Tvalues​​beforeandaftertreatment,nosignificantdifferencesexualsignificanceaftertreatment1ofgroupA,LH,Tvalues​​withtheothertwogroupscomparedifferencessignificantsignificance(P<0.05)(P>0.05);,BandCgroupLH,Tvaluecomparison,thedifferencewasnotsignificant(P>0.05)groupApregnancyratewiththeothertwogroups,thedifferencewasstatisticallysignificant(P<0.05);pregnancyrateofgroupC,thedifferencewasnotsignificantsignificance(P>0.05).[Conclusion]LaparoscopicsurgerycombinedwithtraditionalChinesemedicinecycletherapytoimprovethereproductivehealthstatusofphlegmrefractoryPCOSpatientshavecertainadvantages.[Words]polycysticovarysyndrome/IntegrativetherapylaparoscopyTCMcyclicaltherapyPolycysticovarysyndrome(polycysticovarysyndrome,PCOS)isaheterogeneousgroupofdiseasesoftheexactcauseisunknown,firstproposedbySteinLeventhalin1935,knownasSteinLeventhalsyndrome,PCOSrenamedsincethe1960s.PCOSiscommoninwomenofchildbearingage,lifelongdiseaseinvolvingendocrine,metabolic,andmanyotherfactors,theclinicalmanifestationswere2polymorphic,significantlydifferentfromtheexistenceofdifferentraces,theperformanceofthegroupandthepathophysiologyofthediseasedifficulttotreatseriousimpactonwomen’sreproductivehealth,incurablediseasesandgynecologicalresearchfocushasbeeninrecentyears,theauthorlaparoscopicsurgerycombinedwithChinesemedicinecycletherapytotreatthedisease,withthethelaparoscopicsurgeryCanwestdruginducedovulation,purelaparoscopicsurgerywerecompared,theresultsreportedbelow.1Clinicaldata1.1diagnosticcriteria1.1.1PCOSclinicaldiagnosisin2003bytheEuropeanAssociationforHumanReproduction(ESHREandtheAmericanSocietyforReproductiveMedicine(ASRMpreparedESHRE/ASRMinRotterdamdiagnosticcriteria[1]:①sporadicovulation(oranovulation;②clinicaland(presenceofhyperandrogenismorbiochemicalindicatorsprompt,andtheexclusionofcongenitaladrenalhyperplasia,androgensecretingtumorsandCushing’ssyndromeandotherfactorsthatmaycausedisease.theclinicalhyperandrogenismperformance3includingacne,hirsutism,balding,biochemicalindicatorstheaspectsemphasizedtheclinicalsignificanceoffreetestosterone;(3)bothovariespolycysticchange:bothovariesincreaseinsize,eachwiththediameterofmorethan10normalmenstrualcyclein2~8mmsmallfollicles.cycle3tofivedaystransvaginalB-ultrasoundformenstrualcramps,B-Tipbothovarieswerenotdominantfollicledetection.meetthetwocanbediagnosedinmorethanthreePCOS.1.1.2refractoryPCOSdiagnosis(1)complywithinfertility,PCOSclinicaldiagnosticcriteria;②;③drugstopromoteovulationsystemtreatmentoversixmonths,andfollow-upto1yearandinvalid.1.1....
