الحمل بعد عملية تثقيب المبايض بالتنظير عند مريضات المبيض متعدد الكيسات
Abstract
أجري البحث على 60 مريضة من مراجعات قسم التوليد والأمراض النسائية في مشفى الأسد الجامعي باللاذقية بشكوى عقم (بدئي أو ثانوي) بين عامي 2011-2013. حيث تم أخذ قصة مرضية مفصلة من الزوجين مع التركيز عند الزوجة على الأعراض السريرية للمبيض متعدد الكيسات (بدانة، وشعرانية، وعدم انتظام الطمث، والعقم) ونفي الأسباب الأخرى للعقم الأنثوية والذكرية. إضافة إلى معايرة ال Fsh، Lh، التستوسترون الحر، و تصوير بالأمواج فوق الصوتية للرحم والمبيضين. تم إجراء تثقيب للمبيضين بالجراحة التنظيرية ومتابعة المرضى لمدة سنة تبين بعدها نجاح الحمل لدى 27 مريضة بنسبة 45% , بينما لم ينجح الحمل لدى 31مريضة بنسبة 51.66% إضافة إلى حدوث حالتي إجهاض بنسبة 3.33%. وبينت الدراسة وجود تأثير لكل من العمر ومدة العقم ومعدل LH في نجاح عملية تثقيب المبايض بالتنظير عند مريضات المبيض متعدد الكيسات. The research was conducted on 60 patients, checking in the Department of Obstetrics and Gynecology at the Assad University Hospital in Latakia, complaining of infertility(an initial or secondary) between2011-2013 A satisfactory detailed story of the couple was taken with extra focus on the clinical symptoms of polycysticovary of the wife (obesity, hirsutism, irregular menstruation, infertility) and overlooking other feminine or masculine causes of infertility. In addition to the calibration of Fsh, Lh, free testosterone, and ultrasound imaging of the uterus and ovaries, a perforation was performed on the ovaries by laparoscopic surgery. Patients were checked for a year. This check up showed healthy pregnancy in 27 patients by 45%, but this didn't work for 31 patients by 51.66%. In addition, 2 cases of abortion3.33% were reported. . The study showed that age, duration of infertility and the rate of LH had an effect on the success of the laparoscopic ovarian drilling process with patients of Polycystic ovary.Downloads
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