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| Influence of laparoscopic cystectomy for treating patients with ovarian endometriosis on their ovarian cortex removal, ovarian function, and prognosis |
| 1.Hebi Hospital of Traditional Chinese Medicine, Henan Province, 458030; 2.Hebi Maternal and Child Health Care Hospital; 3.Hebi Jingli Hospital of Henan Province |
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Abstract To explore the influence of laparoscopic cystectomy for treating patients with ovarian endometriosis (EMs) on their ovarian cortex removal, ovarian function, and prognosis. Methods: 90 patients with EMs who treated with surgery were selected and were divided into group A (47 cases accepted laparoscopic surgery) and group B (43 cases accepted open surgery) randomly by coin tossing method between March 2017 and February 2020. The ovarian cortex removal situation, the changes of the ovarian function, the sex hormone levels, and the immune function before and after surgery of the patients were compared between the two groups. And the prognosis of the patients in the two groups was evaluated. Results: The removal rate of ovarian hilar cortex, the removal thicknesses of ovarian middle and ovarian hilar cortex, the removal thicknesses of ovarian hilar lesions of the patients in group A were significantly lower than those of the patients in group B (P<0.05), but there were no significant differences in the removal thicknesses of other parts of the ovarian cortex of the patients between the two groups (P>0.05). After operation, the levels of ovarian function indexes of the patients in group A were significantly higher than those of the patients in group B (P<0.05), and there were no significant differences in the levels of the sex hormones of the patients between the two groups (P>0.05). There were no significant differences in the levels of immunoglobulin (IgM, IgA) of the patients between the two groups, but the level of IgG of the patients in group A was significantly higher than that of the patients in group B (P<0.05). There was no significant difference in recurrence rate (6.4% vs. 4.7%) of the patients between the two groups, but the pregnancy rate (44.7%) of the patients in group A was significantly higher than that (23.3%) of the patients in group B (P<0.05). Conclusion: Compared with open surgery, laparoscopic cystectomy for threating the patients with EMs can effectively reduce the damage to their normal ovarian tissues and to their ovarian function, which has less influence on immune function of the patients, and improves their postoperative pregnancy rate.
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