Effect Of Laparoscopic Surgery On Reproductive Reserve Of Endometriosis Cyst

Objective:Observed in patients with ovarian endometriosis cyst after preoperative hormone levels,sinus follicle counting,stripping ovarian tumor with normal follicle density and depth of electric coagulation,explore the ovarian endometriosis cyst effects on reproductive reserve force,looking for reducing ovarian endometriosis cyst effects on reproductive reserve force of the feasibility of the method..Methods:1.Choose three groups: unilateral ovarian endometriosis cyst laparoscopic surgical removal;Bilateral ovarian endometriosis cyst laparoscopic surgical removal;Unilateral ovarian benign tumor laparoscopic surgical removal?2.Specimen collection: three groups of objects are in before the operation,2-4days of menstrual cycle for the first time after extraction of venous blood check serum FSH(follicle stimulating hormone,FSH),luteinizing hormone,luteinizing hormone,LH),estradiol(estradiol,E2)value,and vaginal ultrasound detecting sinus of follicle number(Fo).Intraoperative take part of the ovary wall specimens,fixed in 10%formaldehyde solution?3.Experimental methods: applying the Beckman Coulter Access automatic particles chemiluminescence immunoassay system to detect serum levels of follicle-stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2)levels;Vaginal ultrasound detecting sinus follicle number(Fo);Capsule wall specimens using HE(Hematoxylin-eosin,Hematoxylin-eosin)staining observation capsule wall presence of normal ovarian tissue and follicle density.4.Analy the experiment's data.Results:1.Groups of the general clinical data into the set of objects: unilateral artful bursa,bilateral qiao capsule group,unilateral ovarian benign tumor in the age,size of ovarian cyst and ovarian reserve function there was no statistical significance(P >0.05)difference.2.Unilateral artful bursa,unilateral ovarian benign tumor group postoperative of FSH,LH,E2,there is no significant change compared with the preoperative(P >0.05);Bilateral capsule group of FSH,E2,compared with the preoperative was statistically significant(P < 0.05).3.Unilateral ovarian benign tumor group and unilateral capsule group and bilateral artful bursa of postoperative pathologic cystic wall tissue follicle density compared with statistical significance(P < 0.05).4.Number of sinus follicle unilateral ovarian benign tumor group(Fo)compared with the preoperative no statistical significance(P > 0.05),unilateral capsule group,artful bursa on both sides of sinus follicle number(Fo)compared with the preoperative was statistically significant(P < 0.05).5?Groups of laparoscopic surgery for ovarian tissue in electric coagulation depth of no statistical significance?Conclusions:1.With laparoscopic compared unilateral ovarian benign tumor removal surgery,laparoscopic ovarian endometriosis cyst removal surgery have bigger influence on the ovarian reproductive reserve force.2.Laparoscopic endometriosis cyst removal technique lead to reproductive surgery was associated with a decrease in the reserve force causing the change of the ovarian hormone secretion,sinus follicle number of loss,as well as related to normal ovarian tissue electric coagulation injury.3.Unilateral ovarian endometriosis cyst removal surgery affect reproductive reserve force is less than the double side strip,its reason and unilateral ovarian endometriosis cyst surgical trauma is small.4.Laparoscopic ovarian cyst removal postoperative vaginal ultrasonic testing of ovarian sinus follicle number of ovarian reserve function evaluation has a certain value.