Clinical Efficacy And Health Economics Of Recurrent Ovarian Endometriosis By Interventional Treatment

Objective:To study of laparoscopic and interventional surgery in two ways th e treatment of recurrent ovarian endometriosis effect on clinical efficacy, ovarian re serve and cost impact. Methods:75 patients admitted to our hospital with recurren t ovarian endometriosis patients, which involved in interventional ethanol injection (A group) 45 cases, laparoscopic cystectomy (group B) 30 cases; and at the same time under laparoscopic cystectomy in patients with o varian teratoma (group C) 20 cases as controls; investigated its clinical indicators and treatment costs. Results: ?A, B, C three groups of age, preoperative cyst diameter, postoperative body te mperature differences had no statistical significance (P>0.05); Group B, group C co mpared with group A long length of hospital stay, average operation time, intraope rative blood loss, postoperative pain 24h rate is high and down time late, the diffe rence was statistically significant (P<0.05);Postoperative cyst diameter 3 group were compared with preoperative was statistically significant (P<0.05);Temperature is gr eater than group B, group C after two days before, and after two days of group A temperature and preoperative no change, there was no statistically significant diff erence (P>0.05).?the serum LH, FSH and E2:A, B, Cthree groups of preoperative and postoperative 3 months,6 months difference had no statistical significance (P> 0.05); Postoperative 1 month group B than in group A, group C LH and FSH, E2, the difference was statistically significant (P<0.05), and pairwise comparisons were statistically significant (P<0.05).?group B, group C direct medical costs, direct the medical costs, and indirect medical costs and total cost were higher than in group A, the difference was statistically significant (P<0.05).A group surgery costs more than group B, group C, the difference was not statistically significant (P>0.05);gro up B, group C beds costs, anesthesia costs, the cost of treatment, care costs, mater ial costs and drug costs were higher than in group A, the difference was statistical ly significant (P<0.05);direct medical costs group B, drug costs more than group C (P<0.05);three surgical clinical effect difference was not statistically significant (P >0.05). Conclusions:The interventional treatment without hospitalization, without a nesthesia, shorter operative time, less intraoperative bleeding, postoperative pain, ear ly postoperative ambulation time, does not affect ovarian function and reusable rece ntly; From the perspective of health economics, interventional therapy significantly reduce the financial burden and improve the health resource utilization, to be beco me the treatment of recurrent ovarian endometriosis more appropriate surgical appro ach.