The Curative Effect Analysis Of Different Surgical Treatment Of Ovarian Endometriosis

Purpose: To evaluate the curative effect of two different surgicaltechniques, laparoscopy or laparotomy, on ovarian endometriosis patients,in order to provide theoretical basis for clinical work.Method: From January2011to January2013,208patients withovarian endometriosis in the First Hospital of Jilin University were enrolled.The analysis method was retrospective case-control analysis. The mainevaluation parameters were age, size of the cyst, stage, the level of CA125,surgical technique, duration of operation, bleeding volume,postoperativeexhaust time, the duration of hospital stays, postoperative complications,recurrence rate, and postoperative pregnancy rate,recovery prognosissymptoms analyze several aspects.Result：1.Both surgical techniques were tolerated. Only1case oflaparoscopic surgery transferred to laparotomy. The laparoscopy was betterthan laparotomy on duration of operation, bleeding volume, time ofbreaking wind, the duration of hospital stays and postoperative fever time,the difference was statistically significant (P<0.05).2. There was nocomplication occurred in laparoscopy group, while the fat liquefaction ofincision was occurred in1case of open surgery group which healed wellafter symptomatic treatment, the rest of the two groups of incision wereclass a healing.3. The follow-up was6-12months from one month aftersurgery. Five patients ever received one side ovarian cyst removal surgeryrelapsed after surgery,3from laparoscopy group and2from laparotomygroup. Four cases received conservative treatment, and1case received laparoscopy again. There was no differences between two groups onrecurrence rate（P>0.05）.4. In40patients with fertility requirements,18cases took traditional open surgery,4patients achieved successfullypregnancy (22,22%), while5cases in laparoscope group(22、72%).Noneof laparotomy group occurred in1year after surgery, while2cases inlaparoscope group.Conclusion:1. Laparoscopic surgery has improved bleeding volume, duration ofoperation, time of breaking wind and the duration of hospital stays.2. Laparoscopic surgery is better on hospital stays, postoperative pain,surgical scar, postoperative recovery and the recovery of second surgery forrelapse.3. There is no difference on recurrence rate, pregnancy rate andpostoperative dysmenorrheal between two groups.4. Surgery is the preferred method of ovarian endometriosis; surgicaloptions should be individualized, and based on the patient’s age, fertilityrequirements and clinical symptoms. The main options are the traditionalopen surgery and laparoscopic surgery.