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| Efficacy of modified laparoscopic surgery for treating infertility patients with ovarian endometriosis cyst and its influence on their T-lymphocytes level and pregnancy outcomes |
| The First Affiliated Hospital of Xinjiang Medical University，Wulumuqi, Xinjiang, 830054 |
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Abstract To investigate the efficacy of modified laparoscopic surgery for treating infertility patients with ovarian endometriosis cyst, and to study its influence on their Tlymphocytes level and pregnancy outcomes. Methods: 123 infertility patients with ovarian endometriosis cysts were selected and were divided into two groups according to the different treatments. 60 patients in the study group were treated by modified laparoscopic oophorocystectomy, while 63 patients in the control group were treated by conventional laparoscopic oophorocystectomy. The clinical efficacy of the patients was compared between the two groups. Results: The time of the first postoperative anal exhaust (1.3±0.4d), the intraoperative blood loss (23.2±3.9ml), and the hospital stay (6.5±1.1d) of the patients in the study group were significantly lower than those (1.9±0.6d, 29.5±4.5 ml, and 8.3±1.4d) of the patients in the control group. The improvement degrees of the sex hormone indexes related to ovarian reserve function, and the levels of T lymphocyte subgroup indexes of the patients in the study group after operation were significantly better than those of the patients in the control group. The pregnancy rate (67.5%) of the patients in the study group was significantly higher than that (44.4%) of the patients in the control group (all P<0.05). Conclusion: Modified laparoscopic surgery for treating infertility patients with ovarian endometriosis cyst can increase the effectiveness, and reduce the adverse effect on their ovarian reserve function and immune function, which is beneficial to their rehabilitation after operation and improve their pregnancy rate.
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