517 Cases Of Laparoscopic Ovarian Benign Tumor Removal Clinical Analysis Of Patients With Postoperative Follow-up Data

Objective: To investigate the clinical value of laparoscopic removal of benign ovarian cysts in patients with benign ovarian cysts Methods: From January 2010 to December 2014 in the First Affiliated Hospital of Shihezi University School of medicine in benign ovarian cysts underwent laparoscopic removal of the clinical data of 517 cases of patients,analysis of different age,different pathological types and single,bilateral ovarian cystectomy in patients with pregnancy rate,menstruation,effect of tumor recurrence.Follow up more than 35 years old patients.Fill in the Kupperman score table.The ovarian endometriosis cyst in 230 cases,according to the injection of gonadotropin-releasing hormone agonist(GnRH-a)after surgery were divided into two groups,group 1with 111 patients,with injection,another with 119,without injection,were analyzed the effect of postoperative gonadotropin releasing hormone agonist(GnRH-a)on the pregnancy rate,menstruation and cyst recurrence rate.Results: Patients with pregnancy rate and the quantity rate in different age groups were different after surgery,and the difference was statistically significant(P<0.05)<35.The pregnancy rate was 52.14%,more than 35 years old the pregnancy rate was 20.94%.The results showed that age < 35 years in patients with pregnancy rate higher than ≥35 years patients.The recovery of menstrual with age < 35 years patients was significantly better than≥ 35 years.Compared with Bilateral ovarian cysts,unilateral patients have a higher pregnancy rate,recurrence of regular menstruation,and the difference was statistically significant(P<0.05).Through the statistics of different pathological types of ovarian cysts,pregnancy rate,recurrence rate and the reduction rate of menstruation showed significant difference(P<0.05),pregnancy rate of ovarian endometriosis cyst postoperativeis was low,high in recurrence,less obviously in menstruation.T test was performed according to the different types of benign ovarian cyst the Kupperman score,of which 56 cases of serous cyst(19.79%),53 cases of mucinous cyst(18.73%),138 cases of ovarian endometriosis cyst(48.76%)and 36 cases of benign cystic teratoma(12.72%)showed,no significant difference between different types of benign cyst(P > 0.05),more than 35 years showed that the changes in the quality of life of patients with different ovarian endometriosis cystectomy after injection of gonadotropin-releasing hormone agonist(GnRH-a)group and non injection group had a significant impact on the pregnancy.After injection of gonadotropin-releasing hormone agonist(GnRH-a)in patients with postoperative pregnancy rate was higher than the injection group of patients,and the effects on menstruation and recurrence had no difference(P > 0.05),whether the injection of GnRH agonist(GnRH-a)was not associated with menstrual changesand tumor recurrence.Conclusion:(1)age less than 35 year old patient menstruation pregnancy rate and postoperative recovery of higher than 35 years of age or older patients.(2)the rate of pregnancy in patients with unilateral ovarian cyst removal was higher than that in both sides(3)the rate of pregnancy after the operation of ovarian endometriosis cyst is lower than that of serous cyst,mucous cyst and mature teratoma...