Abstract Objective: To study the influence of different treatment of ovarian endometriosis cyst on ovarian function and the clinical pregnancy outcomes. Methods: The clinical data of 100 women with ovarian cyst from December 2017 to December 2018 were retrospectively collected. According to different surgical methods, these women were divided into group A (laparoscopic ablation of ovarian cyst) and group B (50 women with puncture of ovarian cyst monitored by B ultrasound). The operative time, intraoperative blood loss, postoperative anal exhaust time, postoperative remission situation, postoperative complication rate, recurrence rate, and sex hormone levels were compared between the two groups. The pregnancy status of the two groups was followed up for 1 year. Logistic regression was used to analyze the related factors of spontaneous abortion. Results: The operating time, intraoperative blood loss, postoperative anal exhaust time, the complications rate, and postoperative recurrence rate of women in group A were 49.7±3.8 min, 133.8±11.1 ml, 23.3±2.3h, 22.0%, and 16.0% ,respectively, which were significant higher than those of women in group B, the postoperative remission rate of women in group A was 92.0%, which was also significant higher than that (64.0%) of women in group B, and the sex hormone levels of women in group A were significant higher, but the sinus follicle numbers of women in group A was 6.5±1.8, which was significant less than that of women in group B (all P<0.05). There were no significant difference in the ratio of postoperative pregnancy and adverse pregnancy between the two groups (P>0.05). The proportion of high-quality embryos of women in group A was significant lower than that of women in group B, while the rate of spontaneous abortion of women in group A was significant higher than that of women in group B (all P<0.05). Regression analysis showed that sex hormone level, number of sinus follicles, and surgical method were the related influence factors of spontaneous abortion. Conclusion: Compared with laparoscopy
ablation of ovarian cyst, puncture of ovarian cyst monitored by B ultrasound has a higher remission rate of ovarian cysts, a higher rate of high-quality embryos, and a lower rate of spontaneous abortion. So it is suggested that puncture of ovarian cyst monitored by B ultrasound is priority for treatment of ovarian cyst.
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