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. 2018 Sep-Oct;34(5):1064-1069.
doi: 10.12669/pjms.345.15574.

Clinical evaluation of laparoscopic surgery combined with triptorelin acetate in patients with endometriosis and infertility

Huiling Xue  1 , Meiyun Liu  2 , Wanjiao Hao  3 , Ye Li  4
Affiliations

Clinical evaluation of laparoscopic surgery combined with triptorelin acetate in patients with endometriosis and infertility

Huiling Xue et al. Pak J Med Sci. 2018 Sep-Oct.

Abstract

Objective: To investigate the effects of laparoscopic surgery combined with triptorelin acetate, gestrinone and mifepristone on pregnancy rate, pregnancy outcome, long-term recurrence and adverse reactions in patients with endometriosis (EMT) complicated with infertility.

Methods: In this study, 150 patients with EMT and infertility were selected and randomly divided into triptorelin group (group A), gestrinone group (group B) and mifepristone group (group C), with 50 people in each group. Treatment was with gonadotropin-releasing hormone (GnRH-a) after laparoscopic surgery.

Results: The success rate of pregnancy in group A was higher than that in group B and C. The incidence of adverse pregnancy outcome was lower than that in group B and C. Kupperman score and subjective symptom score were lower than those in group B and C before treatment. Sex hormone level and CA125 level were significantly better. In the B and C groups and before treatment; the long-term recurrence rate was significantly lower than the B and C groups; the incidence of adverse reactions was similar.

Conclusion: Laparoscopic surgery combined with GnRH-a can improve the success and good rate of pregnancy in EMT patients, reduce clinical symptoms, avoid long-term recurrence, and increase the risk of adverse reactions. Triptorelin acetate is superior to gestrinone and mifepristone.

Keywords: Adverse reactions; Clinical effect; Endometriosis; Infertility; Laparoscopic surgery; Pregnancy outcome; Pregnancy rate.

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Conflict of interest statement

Conflicts of interest: None.

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