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去氧孕烯 炔雌醇治疗多囊卵巢综合征合并不孕 被引量:4

Desogestrel-ethinylestradiol in treating polycystic ovary syndrome with infertility
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摘要 目的 :观察去氧孕烯 炔雌醇对多囊卵巢综合征合并不孕的临床疗效。方法 :将 118例病人随机分成 2组 :治疗组 6 4例 ,年龄 (2 6±s 9)a ,自月经来潮d 1开始 ,用去氧孕烯 炔雌醇 1片 ,po ,qd ,连用 6 3d停药。于停药后月经来潮d 5 ,用人绝经期促性腺激素 (HMG)促排卵 ,1支 (每支 75IU ) ,im ,qd。B超监测 ,适时性交 ,观察妊娠率及HMG应用情况。对照组 5 4例 ,年龄 (2 6± 10 )a ,不用去氧孕烯 炔雌醇。结果 :治疗组妊娠率非常显著高于对照组 (4 4 %vs 13% ,P <0 .0 1) ;治疗组HMG用量 (12± 5 )支 ,显著少于对照组 (2 2± 4 )支 ,差异有非常显著意义 ,P <0 .0 1。结论 :去氧孕烯 AIM: To investigate the clinical efficacy of desogestrel ethinylestradiol in treating polycystic ovary syndrome (PCOS) with infertility. METHODS: One hundred and eighteen PCOS patients were randomly divided into two groups: sixty four patients in treatment group (age (26± s 9)a),fifty four patients in control group (age (26±8)a). The treatment group received desogestrel ethiny lestradiol 1 tab, po , qd, from d 1 of menstrual cycle for 63 d continually. Then when they were stimulated with human menopause gonadotrophin (HMG) 75 IU, im, qd from the d 5 of the menstrual cycle after stopping desogestrel ethinylestradiol, monitored under transvaginal ultrasound and told to coitus at proper time, the pregnancy rate and application of HMG were observed. The control group did not received desogestrel ethinylestradiol. The other treatment was the same as the treatment group. RESULTS: In the treatment group, the pregnancy rate was significantly higher than that in the control group (44% vs 13%, P <0.01). Furthermore, the amount of HMG used in treatment group was (12±5) amps, while (22±4) amps in control group, P <0.01. CONCLUSION: Desogestrel ethinylestradiol can play a good role in the treatment of PCOS with infertility.
作者 谭丽 樊永谦
出处 《中国新药与临床杂志》 CAS CSCD 北大核心 2003年第6期326-328,共3页 Chinese Journal of New Drugs and Clinical Remedies
关键词 多囊卵巢综合征 不孕症 去氧孕烯-炔雌醇 口服避孕药 妈富隆 contraceptives, oral vagina ultrasonography examinaion polycystic ovary syndrome
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  • 1曹泽毅 朱楣光 苏延华 张以文.多囊卵巢综合征[A].朱楣光,苏延华,张以文.中华妇产科学:第1版[C].北京:人民卫生出版社,1999.2176-2216. 被引量:1
  • 2De LEO V, FULGHESU AM, La MARCA A, et al. Hormonal and clinical effects of GnRH agonist alone,or in combination with a combined oral contraceptive or flutamide in women with severe hirsutism[J]. Gynecol Endocrinal,2000,14(6) :411-416. 被引量:1
  • 3GJCNNAESS H. Comparison of ovarian electrocautery and oral contraceptives in the treatment of hyperandrogenism in women with polycystic ovary syndrome[ J ]. Acta Obstet Gynecol Scand,1999, 78(6) :530-533. 被引量:1

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