腹腔镜胃袖状切除对多囊卵巢综合征生殖内分泌功能改善的作用

被引：14

作者：

王恺京 ^{[1
]}

忻颖 ^{[1
]}

周小钢 ^{[1
]}

徐冰 ^{[2
]}

支云清 ^{[2
]}

朱江帆 ^{[1
]}

机构：

[1] 同济大学附属东方医院普外科

[2] 同济大学附属东方医院妇产科

来源：

中国微创外科杂志 | 2014年 / 14卷 / 10期

关键词：

胃袖状切除术; 多囊卵巢综合征; 肥胖; 腹腔镜;

D O I：

暂无

中图分类号：

R711.75 [卵巢疾病]; R656.61 [];

学科分类号：

100211 [妇产科学];

摘要：

目的探讨腹腔镜胃袖状切除术改善多囊卵巢综合征(polycystic ovary syndrome,PCOS)生殖内分泌失调的可行性及临床疗效。方法 2012年2月2014年2月,对11例伴有肥胖的PCOS患者行腹腔镜胃袖状切除术,观察月经周期、生殖内分泌及体重等的变化。结果 11例均成功完成腹腔镜胃袖状切除术,10例(10/11)术后3个月内月经恢复正常周期,其中6例(6/6)术前稀发排卵的患者均恢复正常排卵,4例术前高雄激素血症患者术后3个月雄激素水平均恢复到正常范围,4例(4/7)多毛患者术后36个月Ferriman-Gallwey多毛评分降至5分以下。术后随访324个月,BMI下降4.17.6,(5.3±1.5)。结论腹腔镜胃袖状切除术能有效改善肥胖的PCOS患者的临床症状,术后短时间内月经恢复,不排卵、高雄激素血症改善。

引用

页码：942 / 944

页数：3

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中国微创外科杂志, 2013, 13 (01) :78-80+86

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