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| Efficacy of laparoscopic cystectomy by water injection combined with electrocoagulation hemostasis for treating patients with chocolate-like cyst of ovary |
| Huangshan People's Hospital, Anhui Province, 245000 |
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Abstract To investigate the efficacy of different laparoscopic cystectomy for treating patients with chocolate-like cyst of ovary, and to study its influence on their ovarian function. Methods: 72 patients with chocolate-like cyst of unilateral ovary were selected and were randomly divided into study group and control group (36 cases in each group) from January 2015 to July 2019. The patients in the study group were treated of laparoscopic cystectomy by water injection combined with suture hemostasis, while the patients in the control group were treated of laparoscopic blunt cystectomy combined with suture hemostasis. The efficacy of the patients was compared between the two groups. Results: The serum inflammatory C-reactive protein (16.4±2.5 mg/L) of the patients in the study group was significant lower than that (26.7±3.1 mg/L) of the patients in control group in 3 days after operation. 3 months after operation, the levels of estradiol (144.6±7.2 pmol/mL) and follicle stimulating hormone (8.8±1.3 mIU/mL) of the patients in the study group were significant better than those (152.5±8.0 pmol/mL and 11.0±1.5 mIU/mL) of the patients in the control group. The number of sinusoid ovarian follicles (4.61±1.43) of the patients in the study group was significant more than that (3.15±0.92) of the patients in the control group. 1 year after surgery, the pregnancy rate (44.4%) of the patients in the study group was significant higher than that (16.7%) of the patients in the control group (all P＜0.05). Conclusion: The laparoscopic cystectomy by water injection combined with suture hemostasis for treating patients with chocolate-like cyst of ovary has better effectiveness, which can reduce the adverse effect on ovarian function, can alleviate the stress response of patients, and can improve the postoperative pregnancy rate.
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