Whether Benign Ovarian Tumor Underwent Laparoscopic Conservative Surgery Have Affect To The Ovarian Reserve

Objective: Explore the impact on ovarian reserve after laparoscopic conservativesurgery for benign ovarian tumor line.Methods:47patients who have laparoscopic conservative surgery for benignovarian tumor in our hospitalin on May2011to February2012were divided into2groups, group A (32cases):non-endometrialcysts group.B (15cases): endometrial cystgroup. One month after surgery and three months and six months,all patients were blooddetermination of E2、FSH、LH level at2-3days after menstruation. Besides bloodtest,patients also need ultrasound.Transvaginal ultrasound record diameter of1to5mmSinus shaped follicle and bilateral ovarian volume and blood flow.In addition to theblood and vaginal ultrasound, all patients fill out a table which is called’kupperman".We record monthly value to carry out statistical comparative analysis.Results:1.There are30patients in group A postoperative period is normal(94%),In group A,2patients were to extend the menstrual cycle (6%)，And two casesof patients with reduced menstrual flow.Follow-up within six months they are back tonormal. In Group B,7patients with normal menstruation (46%), eight cases of patientsto extendthe menstrual cycle (53%), reduce menstrual flow, menstrual abnormalitieswere followed up for six months returned to normal. Group B patients menstrualchanges significantly more than group A (P<0.05).2. Patients of group A have a blood sample at one month after surgery to checkFSH, LH,with the preoperative ratio increased, but were within normal range, comparedwith preoperative significant difference (P>0.05), E2is also no decreased significantly(P>0.05).Patients of group B have a blood sample at one month after surgery to checkFSH、 LH, which compared with preoperative blood results were si-gnificantlyincreased (P<0.05), E2was significant lower (P<0.05). Four months after surgery FSH levels were significantly higher than preoprative (P<0.05).LH and E2levels in the fourmonths after surgery compared with the preoperative was no significant differences(P>0.05).The first6months after surgery,FSH, LH and E2was no significant differencecompared with the preoperative (P>0.05).3. Group A itself compared to the preoperative control group, traultras-oundrecords bilateral ovarian stromal blood flow index (RI), no significant difference beforeand after surgery.Contralateral ovarian volume before and after surgery was nosignificant difference (P>0.05). The number of antralfollicles in both ovaries before and after surgery was no significant difference.Group B itself compared to the preoperative control group, one month aftersurgery ipsilateral ovarian blood flow compared with the preoperative was nosignificant difference (P>0.05).One month after the surgery ipsilateral ovarian antralfollicles was significantly less than preoperative (P<0.05), Contralateral ovarian volumein one month after surgery compared with the preoperative significantly increased(P<0.05).A contralateral ovarian blood flow and the number of antral follicles which inone month after surgery compared with the preoperative was no significant differences(P>0.05). Four months after surgery ipsilateral number ofantral follicles is still less thanbefore surgery (P<0.05), but the volume of the contralateral ovary, ovarian blood flowand the number of antral follicles compared with the preoperative was no significantdifference (P>0.05).The reference index of six monthsafter surgery compared with thepreoperative was no significant difference (P>0.05).Group B compared with group A, group B of one month after surgery ipsilateralovarian volumewas significantly less than group A (P<0.05). Group B of one monthafter surgery ipsilateral numberof antral follicles was significantly less than groupA(P<0.05). An ipsilateral ovarian stromal blood flow index which in Group B of onemonth after surgery compared with group A was no significant difference(P>0.05).Contralateral ovarian volume in one month after surgery compared with groupA was significantly increased (P<0.05).One month after the surgery contralateralovarian antral follicles and ovarian stromal blood flow index in group A showed nosignificant difference(P>0.05).Reference six months after surgery compared with groupA was no significant difference (P>0.05).4. Kupperman score of Group A patients no significant difference before and aftersurgery.6patients even feel hot flashes, sweating, and7patients consciously tired, havereturned to normal within six months after surgery. Kupperman score of Group B patients no significant difference before and after surgery.There are eight cases ofpatients one month after discontinuation of the GnRha treatment of hot flushes andsweating. Follow-up to six months, are back to normal.Conclusion:1.Unilateral ovarian non-endometrial cysts underwent laparoscopicconservative surgery haven’taffect to the ovarian reserve.2.Unilateral ovarian endometrial cysts underwent laparoscopic conservativesurgery1month after the functional reserve of the ovaries reduce the return topreoperative levels within six months after surgery...