Clinical study of laparoscopic operations on treatment of endometriosis associated with infertility

Objective To evaluate the efficacy of laparoscopic operations on treatment of endometriosis associated with infertility. Methods 110 patients with endometriosis associated with infertility, according to the different surgical methods, were divided into laparoscopic group and laparotomy group,each group with 55 cases. The operative time, intraoperative blood loss, hospital stay, postoperative complications, high-sensitivity C-reactive protein (hs-CRP), prealbumin (PA), half-year pregnancy rate, one-year pregnancy rate and 1-year recurrence rate of endometriosis were observed. Results The operative time, intraoperative blood loss, hospital stay and postoperative complications in the laparoscopic group were short or reduced than those in the laparotomy group; the difference was statistically significant (P0.01). The half-year pregnancy rate, one-year pregnancy rate and 1-year recurrence rate of endometriosis were not statistically different in two groups(P0.05). After surgery, the levels of hs-CRP and PA were significantly higher or decreased than those before operation, but the levels of hs-CRP and PA in the laparotomy group were significantly higher or decreased than those in the laparoscopic group. The difference was statistically significant(P0.01). Conclusions Laparoscopic treatment of endometriosis is a minimally invasive method, with mild postoperative inflammation, and short recovery time. It is a kind of promising new technology.