Analysis of influence factor by laparoscopic surgery in endometriosis complicated with infertility patients on pregnancy after operation

Objective To analyze influence by laparoscopic surgery for endometriosis complicated with infertility patients on pregnancy after operation. Methods A total of 114 endometriosis complicated with infertility patients received laparoscopic endometriosis electric coagulation, synechia separation surgery, adenomas endometrioides ovarii cyst stripping, and postoperative combination with artificial assisted reproductive technology, along with comprehensive analysis and evaluation. Results After operation, 114 patient received lesion laparoscopic detection, which showed 87 cases with blue ectopic lesions, 79 cases with red ectopic lesions, 23 cases with peritoneal shrivel, 19 cases with pelvic effusion, and 27 cases with unilateral or bilateral oviduct umbrella end closure. Electrocoagulation was applied for 106 ectopic lesions, 54 cases received adenomas endometrioides ovarii cystectomy and 27 cases received oviduct umbrella end forming colostomy. After operation, monitoring ovulation, artificial fertilization, and external fertilization-embryo transplantation were applied due to different patients' condition for pregnancy. Follow-up showed 57 natural pregnancy cases, with pregnancy rate as 50.00%, 9 recurrent ectopia cases, with recurrence rate as 15.79%. There were 67 cases received postoperative ovulation induction treatment, and 45 cases among them were pregnant, with pregnancy rate as 67.16%, and 13 cases with recurrent ectopia, with recurrence rate as 19.40%. 10 cases reiceved postoperative combination of artificial assisted reproductive technology, and 8 cases of them were pregnant, with pregnancy rate as 80.00%, 3 cases with recurrent ectopia, with recurrence rate as 30.00%. The difference of pregnancy rate had statistical significance between ovulation induction treatment and spontaneous pregnancy(P0.05), and their recurrence rates had no statistically significant difference(P0.05). Conclusion Laparoscopic surgery can provide precise evaluation and treatment for endometriosis through diagnosing endometriosis patients, and understanding symptoms of infecund pelvic. Surgical treatment increases pregnancy rate in infertility patients, and it remarkably improves risk of recurrence.