Efficacy of laparoscopic surgery and post-operation medicine for ovarian endometrioma

Objective To evaluate the efficacy of laparoscopic surgery and post-operation medicine for ovarian endometrioma.Methods All of 239 patients with ovarian endometrioma who were treated with ovarian cystectomy performed by laparoscopy were divided into three groups: untreated group,GnRH-a group,gestrinone group.The recurrence rate of the three groups and the side effects of the two kinds of medicine were compared.Results All the patients were followed up for 18 to 42 months,and the incidence of recurrence in the untreated group was higher than in GnRH-a group and gestrinone group(P 0.05),but there was no statistically significant difference between GnRH-a group and gestrinone group(P 0.05).The incidence of side effect in GnRH-a group was lower than gestrinone group.Conclusion Laparoscopic surgery is an effective way to treat ovarian endometrioma,and the use of GnRH-a or gestrinone after operation can reduce the incidence of recurrence,but the incidence of side effect in the gestrinone group is higher.