Different Ways To Treat Ovarian Endometriosis After The IVF-ET Outcome

Objective This paper explores the ovarian endometriosis cyst and cyst enuclearion, finds out influence of cyst puncture on ovarian function and in vitro fertilization and embryo transfer to help pregnant outcome.Methods From January 2013 to December 2014 108 patients from Tangshan City maternal and child health hospital reproductive genetic science for IVF-ET were visited, they were endometrial cyst with infertility. Including experimental group A: Who underwent laparoscopic enucleation of ovarian chocolate cyst in 52 cases.(Operation and IVF-ET interval of 3 months to 1 years). Experimental group B: Clinical diagnosis of chocolate cyst of ovary, the B ultrasound guided cyst puncture in 31 cases.(Patients were confirmed by cytology of chocolate cyst). Two groups of patients with age, duration of infertility, the number of antral follicle cyst diameter, the second day of the antral follicle and basal FSH levels, basal E2 level, the number of days using Gn, the number of Gn used, the number of mature follicles of the day of HCG injection, estradiol content in the day of HCG injection, the thickness of endometrium on the day of HCG injection, the number of oocytes, the number of embryos transferred, the number of frozen embryos,fertility rate,the clinical pregnancy rate and abortion ratio are all recorded and compared.Results 1 The age, duration of infertility and sac diameter between the two groups were not statistically significant(P>0.05). 2 The number of antral follicles in group A less than in the group B, group A of basal FSH level and E2 level were higher than group B and the differences were statistically significant(P<0.05). 3 Comparison of ovulation medicati- on time and dose of the two groups of patients, the difference was not statistically significant(P<0.05). 4 The differences between the two groups were more than HCG injection on 14 mm follicle number and the level of serum E2 was significantly, with statistical significance(P<0.05). 5 Group A and group B had no difference in the thickness of the endometrium(P>0.05). There is no difference between the two groups of endometrial type(P>0.05). 6 Group A and group B had no significant difference in the numbers of retrieved oocyte(P>0.05), No significant difference between the two groups of patients with M II oocytes(P>0.05). 7 Group A and group B had no significant difference in obtain the numbers of embryos, received the number of embryos and the number of frozen embryos had no obvious difference(P>0.05). 8 Two groups of patients with fertilization rate, good embryo rate comparison, the difference was not statistically significant(P>0.05). 9 The patients in the A than in B group abortion rate, The difference was statistically significant(P<0.05); two groups of patients with the complete the transfer cycle rate and clinical pregnancy rate were not significantly different(P>0.05).Conclusions 1 Laparoscopic ovarian cyst resection than vaginal ovarian cyst puncture under the guidance of ultrasound are more likely to reduce the ovarian reserve function. 2 Transvaginal ultrasound-guided ovarian cyst puncture the high abortion rate. 3 Two kinds of treatment methods of pregnancy rate, ovarian cyst infertile women, according to their own will choose treatment.