Abstract：Objective To analyze the effect of laparoscopic operation in the treatment of ovarian endometriosis cyst with follicular tissue. Methods Eighty patients with ovarian endometriosis cyst with follicular tissue treated in Bozhou Hospital of Traditional Chinese Medicine, Anhui Province from June 2017 to October 2020 were selected as research subjects. According to different treatment methods, they were divided into control group and study group, with 40 cases in each group. The control group was treated with laparotomy and the study group with laparoscopy. Before and after operation, serum follicle stimulating hormone (FSH), antral follicle count (AFC), estradiol (E2), anti-mullerin hormone (AMH), intraoperative blood loss, operation time, exhaust time, length of hospital stay, total incidence of complications, and recurrence rate half a year after operation of two groups were recorded and compared. Results After operation, the level of FSH in both groups were higher than those before operation, while the level of AFC was lower than that before operation, and the differences were statistically significant. After operation, the level of FSH in study group was lower than that in control group, and the difference was statistically significant (P < 0.05). There was no significant difference in AFC level between two groups (P > 0.05). After operation, the levels of E2 and AMH in two groups were lower than those before operation, and study group was lower than control group, and the differences were statistically significant (P < 0.05). The the amount of intraoperative blood loss was lower than that of control group, and operation time, exhaust time, and length of hospital stay of study group were shorter than those of control group, and the differences were statistically significant (P < 0.05). The total incidence of complications in study group was lower than that in control group, and the difference was statistically significant (P < 0.05). There was no significant difference in recurrence rate between two groups (P > 0.05). Conclusion Laparoscopic operation for patients with ovarian endometriosis cyst with follicular tissue has little impact on the follicular tissue, and will not cause follicular loss, and can effectively reduce the total incidence of operation complications and recurrence rate, which has clinical application value and is worth promoting.
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