Abstract:Objective To investigate the influence of different laparoscopic surgery on serum anti-Müllerian hormone (AMH) in patients with ovarian endometriotic cyst. Methods A total of 160 patients with ovarian endometriotic cyst who received treatment at Haikou Hospital of the Maternal and Child Health from January 2015 to December 2016 were selected and divided into two groups according to the operation (laparoscopy cystectomy group and laparoscopy coagulation group, 80 cases each). All the patients were followed up for 6 months. The level of serum AMH, follicle-stimulating hormone (FSH) and antral follicle count (AFC) after the treatment was observed in both groups. Recurrence of lesions and postoperative pain were recorded. Results At 1 and 6 months after the surgery, the AMH and AFC were higher and FSH was lower in cystectomy group (all P<0.05). There was no significant difference in intra-operative bleeding and operation time in two groups (P>0.05). After 6 months of follow-up, the recurrence rate of the lesions and the incidence of dysmenorrhea, intercourse pain and non-menstrual pelvic pain in cystectomy group were significantly lower than those in the coagulation group (P<0.01, P<0.05). Conclusion Compared with laparoscopy coagulation for ovarian endometriotic cyst, laparoscopy cystectomy could restore the normal level of AMH quickly, increase the AFC, reduce the recurrence of postoperative lesions, improve the clinical symptoms, and have advantages in the recovery of ovarian reserve function after operation.