Surgical Treatment And Postoperative Efficiency Analysis Of Endometriosis

Objective:To investigate the clinical features of endometriosis and analysis the postoperative efficiency.Methods:1.A clinical cases analysis was carried on 112 operated endometriosis patients. They were deperated into two groups, groupâ… was consisted of DIE patients with 48 cases, while ovarian endometriosis consisted groupâ…¡. Retrospective analysis of clinical datas to explore the clinical characteristics of endometriosis. 2.Follow-up 93 cases of endometriosis patients about present pain, pregnancy and recurrence to explore the surgical efficiency of endometriosis.Rusults:DIE patients had a long histry, and there were significant differences in preoperative pain between DIE and ovarian endometriosis patients(P<0.05), while no differences in r-AFS stage. The postoperative pain relieved by 80%,83%,respectively. Pregnancy rates of the two types of endometrosis patients could be increased by operation (the rate was 73.3%,78.9%,respectively),The recurrence rate of ovarian endometriosis patients and DIE was 15.1%,20.0%,respectively, and related to the stage of the disease (P<0.05). Complete resection of the lesions in DIE patients was important for reducing pain (P<0.05), while kept uterine didn't increase the rate. Preoperative medical therapy had little to do with improving the postoperative effect. However, postoperative medical therapy could reduce pain and the recurrence rate and maintain the effect of operation(P<0.05).Conclusion:Surgery is one of the main methods to treat endometriosis,which can improve symptoms and pregnancy rates. Complete resection of the lesions in DIE patients was important for reducing pain and kept uterine without seriously lesions didn't increase the recurrence rate.Combination of postoperative medical therapy could used in the patients who couldn'd resect the lesions completely to maintain the effect of operation.