Effects of different methods of separation methods on AMH,FSH,and E2 levels during laparoscopic dissection in patients with ovarian endometriosis cysts
Objective To analyze the effect of different isolation methods on anti-Mullerian hor-mone(AMH),basal follicle stimulating hormone(FSH)and estradiol(E2)levels during laparoscopic strip-ping in patients with ovarian endometriosis cysts.Methods A total of 90 patients with ovarian endometriosis cysts admitted to the First Affiliated Hospital of Zhengzhou University from January 2021 to January 2022 were selected.The patients were divided into two groups based on different treatment plans:44 cases in the control group and 46 cases in the observation group.Perioperative indices,ovarian function,positive rate of normal ovarian tissue attached to the cystic wall of detached ovarian cysts,number of normal follicles,as well as recur-rence rate,pregnancy rate,and complication rate were compared between the two groups.Results In the ob-servation group,intraoperative bleeding was less than in the control group.Additionally,operation time,ex-haust time and time to get out of bed were all shorter in the observation group compared to the control group.The thickness of ovarian cortex peeling and lesion peeling was also thinner in the observation group(P<0.05).When comparing preoperative AMH,FSH and E2 levels between the two groups,there was no statistically sig-nificant difference(P>0.05).At 3 and 6 months post-surgery,AMH and E2 levels decreased while FSH levels increased.In the observation group,AMH and E2 levels were higher and FSH levels were lower compared to the control group,with statistically significant differences(P<0.05).The positive rate of normal ovarian tissue attached to the cystic wall of isolated ovarian cysts after surgery was lower in the observation group than in the control group.The number of normal follicles was higher in the observation group,with a statistically signifi-cant difference(P<0.05).The recurrence rate in the observation group was lower than in the control group,while the pregnancy rate was higher,with statistically significant differences(P<0.05).There was no statistical-ly significant difference when comparing the complication rates of the two groups(P>0.05).Conclusion The application of laparoscopic water injection separation can effectively improve the perioperative outcomes of pa-tients with ovarian endometriosis cysts,reduce damage to ovarian function,and ensure a certain level of safety.
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