- 著者
-
青木 卓哉
中村 公彦
成本 勝彦
刈谷 方俊
壺井 和彦
- 出版者
- Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy
- 雑誌
- 日本産科婦人科内視鏡学会雑誌 (ISSN:18849938)
- 巻号頁・発行日
- vol.25, no.2, pp.379-384, 2009 (Released:2010-11-11)
- 参考文献数
- 19
- 被引用文献数
-
1
1
Objective: The aim of this study was to evaluate the ovulatory performance and reproductive outcome after laparoscopic ovarian drilling using a harmonic scalpel in infertile women with clomiphene-resistant polycystic ovarian syndrome (PCOS).Patients: Twenty clomiphene-resistant anovulatery women with PCOS underwent laparoscopic ovarian drilling between March 2005 and December 2006.Results: After surgery, LH serum levels and the LH/FSH ratio showed statistically significant reductions, and ovulation occurred spontaneously in 70% (14/20) of the patients. The pregnancy rate was 50% (10/20) in < 1 year. Within 4 months postoperatively, 50% of all pregnancies had occurred.Conclusion: Laparoscopic ovarian drilling is an effective treatment in women with clomiphene-resistant polycystic ovarian syndrome, yet without major complications associated with medical treatment, such as ovarian hyperstimulation syndrome and, plural gestations.