Comparison of the effect of two conservative operations and endocrine therapy afterward on endometrioid cyst

Objective To compare the effect of two conservative operations and the postoperative endocrine therapy on endometrioid cyst.Methods A total of 339 patients with endometrioid cyst admitted in our hospital from 2000 to 2003 were analyzed retrospectively.They were divided into A and B groups:group A underwent laparoscopic hysterectomy plus unilateral salpingoophorectomy,or unilateral salpingoophorectomy,or cyst removal;group B accepted laparotomy hysterectomy plus bilateral salpingoophorectomy,or hysterectomy plus unilateral salpingoophorectomy,or cyst removal.After the operation,184 accepted endocrine therapy:90 took GnRHa,37 gestrinone,42 the traditional Chinese medicine,11 contraceptive,4 danazol.The recurrent rates of different treatment were compared.Results ① No difference of the recurrence was found between conservative laparoscope and laparotomy operations(P0.05).② The recurrent rate of stage Ⅳ was higher than stage Ⅲ(P0.05).③ No difference was observed between the recurrence of cyst removal and half radical operation.④ No recurrence difference was found between the patients with endocrine therapy and without,nor among different medications.⑤ The laparoscopic operation did no affect ovarian function more than laparotomy.Conclusions The conservative laparoscopic operation is a good option for the patients with endometrioid cyst.The postoperative recurrent rate is related to the grade of disease.