|
Polycystic ovary syndrome is a common gynecological endocrine diseases, is one of the main reasons that cause young women, menstrual disorders, the most common cause of infertility is caused by married women, as early as a century ago. Sclerosing polycystic ovarian sex change in the 1845 Chereau has described a hardening cystic degeneration ovarian until 1935, Stein and Leventhal first reported by the collapse of hirsutism, obesity associated with bilateral ovarian enlargement and cystic degeneration, to find the cause ovarian wedge resection, pathological findings luteal ovarian capsule thickening and multiple follicular development, and is not yet in a position to state the cause, there after 95% of menstrual cramps 85% recovery fertility, and therefore came to be known as Stein-Leventhal's syndrome (1), and the diagnostic standard and treatment was once widely used. Since then there have been a similar case reports, non-typical pathological levy, but had typical ovarian cystic degeneration histological changes, it is referred to polycystic ovary syndrome (Polycystic OvarySyndrome referred to as PCOS). Early Western medicine treatment of polycystic ovary syndrome using both sides of ovarian wedge resection-based medication intrinsic effect since 1961, continues to improve, and gradually become the preferred method, but a variety of drugs have side effects, and the drug in different cases mixed reactions, some cases of drug treatment failure. In recent years the development of laparoscopic surgical techniques, laparoscopic surgery has become a new treatment of polycystic ovary syndrome. Domestic the use of western medicine or surgery, especially surgery is not easy to be accepted, the treatment of intrinsic ovulation drug treatment, clomiphene citrate (CC) in the treatment of this disease, the treatment of polycystic ovary syndrome the drug of choice in 1960, Kistner and Smith report, non-steroid hormone antagonist MRL-4 (clomiphene citrate) to induce ovulation. So far, more than 1,000 articles generally considered polycystic ovary syndrome, amenorrhea, luteal not sound good effect, is still the treatment of polycystic ovary syndrome commonly used drugs, CC, although the price is low and fewer side effects, but there is high ovulation rate (75 to 90%) and low pregnancy rate (30 to 40%) and can lead to not rupture flavin of follicle (LUF) induced after ovulation luteal insufficient and other shortcomings, and have 20% of the patients with the CC no clinical reactions. Surgery: As early as in 1906, has bilateral ovarian wedge resection in the treatment of polycystic ovary syndrome. Goldzieher that ovarian wedge resection, the menstruation rules accounted for 30% of the cases, the pregnancy rate was%, the hairy subsided 16%, but the complications of surgery can cause internal bleeding, pelvic inflammatory disease and adhesions, especially adhesion incidence in 1962 up to 3Q%, can lead to infertility, sometimes causing premature ovarian failure, it is less. With. 1984 Katz and COB. n the treatment of 740 cases of polycystic ovary syndrome, menstrual rules and corrected laparoscopic ovarian wedge resection live birth rate (95%, 75%, but also in the abdominal cavity in addition to laparoscopic wedge resection microscopic line follicular aspiration, coagulation and laser egg liquid spill blood estrogen and androgen levels will be reduced, giving good results. modern clinical pharmacological studies have shown of some Bushenyijing drugs, such as cultivated land, Shan- Mo hormone effect, make the hypothalamic - pituitary - ovarian axis of the endocrine system is becoming normal, in order to restore ovulation; some medicine for, such as angelica, Sichuan dome, peach kernel, safflower can regulate ovarian enzyme system role in ovarian close the eyes, Tiao role of blood circulation, increased ovarian return to normal. traditional Chinese medicine on the coordination of the kidney, menstruation, Chong and Ren, the relationship between the uterus, and by no means only the substitution of the drug, Thus the kidney Yijing, promote menstruation pregnancy a significant effect. Chinese herbal medicine to ease specimens wen, but there is a drawback of slow for a long time effect. domestic and foreign experts have been exploring better treatments. kidney and spleen phlegm and blood Fang 1, II is our hospital infertility specialist Professor Li Litai based on years of clinical experience summed up the experience joint clomiphene citrate treatment of polycystic ovary syndrome. This experience has kidney and spleen on sputum and blood circulation and the role of the BNI, not only can promote follicular maturation and ovulation so as to promote luteinizing restore normal menstrual cycle and improve pregnancy rates have significant clinical efficacy for the treatment of this disease. collected in June 2000 to 200 in February complete in the my hospital gynecological clinic information EJ 67 cases of patients with polycystic ovary syndrome, randomized clinical cases were divided into Integrative Medicine group of 34 patients and 33 cases of pure Chinese medicine group after clinical surveillance before and after treatment medication after each cycle of follicular development are clear cervical drawing degrees, mucus, ovulation endometrial thickness and FSH, LH, T, E Bu P, PRL The results showed that Integrative Medicine Group the efficiency 79.41O pure traditional Chinese medicine total effective rate was 54.54%, and the two groups significant domestic differences than technology o> 0 knife Bu This study shows Integrative Medicine polycystic ovary syndrome better than only two fruit in efficacy.
|