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| Analysis of Pregnancy Rate and its Influencing Factors in Patients after Ovarian Endometriosis Removal |
| DING Cheng-yu, TAO Ying-zhen, Zibagu-Wu Laying, et al |
| The 2nd Department of Obstetrics and Gynecology, the First People's Hospital of Akesu District, Xinjiang, 843000, China |
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Abstract 【Objective】To observe the pregnancy rate of patients with ovarian endometriosis after laparoscopic surgery and to explore its influence factors.【Methods】One hundred and forty-five cases of laparoscopic ovarian endometriosis removal performed in our hospital were selected from September 2007 to June 2016.The lesions were divided into unilateral and bilateral groups according to the location of endometriosis in the patients, 91 cases in unilateral group and 54 cases in bilateral group. Follicle stimulating hormone (FSH), estradiol (E2) levels and the pregnancy rate of patients of two groups of patients before surgery, postoperative 24 h and 6 onths post-operation were compared and the pregnancy influence factors were explored.【Results】There was no significant difference in the level of FSH and E2 in the unilateral group in postoperative 24 h and half year after operation (P>0.05); in the bilateral group, the FSH level of 24 h after surgery was significantly higher than that before surgery, and was significantly higher than that of the unilateral group.The level of E2 was significantly lower than that before operation, and significantly lower than that of unilateral group, and the differences were statistically significant (P<0.05).The level of FSH and E2 returned to the preoperative level after half a year.The total pregnancy rate of unilateral group was 56.04% (51/91), which was significantly higher than that of the bilateral group 33.33% (18/54), the difference was statistically significant (P<0.05); Pregnancy was associated with age and the factor whether ovarian endometriosis cysts were bilateral or unilateral, and was not related with Deep infiltrative endometriosis, peritoneal endometriosis, adenomyosis and cyst size.【Conclusion】The rate of pregnancy in patients with endometriosis is higher in unilateral than in bilateral patients.Pregnancy is associated with age and the factor whether ovarian endometriosis cysts are bilateral or unilateral.
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Received: 10 November 2016
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2017, Vol. 34 
