Value of Early Laparoscopic Exploration for Primary Infertile Patients with Patent Fallopian Tubes Complicated with Pelvic Effusion.

BACKGROUND Endometriosis is a progressive disease, and early detection and early treatment are particularly important. The purpose of this study was to investigate the effect of the timing of laparoscopy on the spontaneous pregnancy rate of primary infertile patients complicated with pelvic effusion within 6 months after surgery. MATERIAL AND METHODS We enrolled 330 primary infertile patients with pelvic effusion and bilateral patent fallopian tubes. They were divided into 3 groups based on retrospective analysis of clinical data. Study Group 1 underwent laparoscopy 1 month after hysterosalpingography (HSG), Study Group 2 received laparoscopy after trying to conceive for 3 months, and the Control Group did not undergo laparoscopy. According to the specific conditions during laparoscopy, repair and plastic surgery of fallopian tube, electrocautery of endometriosis and uterine suspension were performed. The main observation indicators were proportions of retrograde menstruation, peritoneal endometriosis, and tubal adhesions in laparoscopy groups, and spontaneous pregnancy rates within 6 months. RESULTS The proportions of retrograde menstruation were 92.2% and 93.1% in Study Group 1 and Study Group 2, respectively, with no statistical significance. The proportions of peritoneal endometriosis were 51.0% and 64.7%, with a statistically significant difference. The proportions of tubal adhesions were 31.4% and 36.2%, with no statistical significance. The pregnancy rates within 6 months were 73.9%, 52.6%, and 13.1%, with a statistically significant difference for pairwise comparisons. CONCLUSIONS The pregnancy rate of primary infertile patients with patent fallopian tubes complicated with pelvic effusion can be significantly improved through early laparoscopic surgery (exploration and treatment).

Efficiency assessment of industrial solid waste generation and treatment processes with carry-over in China.

Industrial solid waste (ISW) harms the eco-environment as well as human health; thus, both the generation and treatment processes of ISW are important aspects of a reduction of discharged ISW. Currently, only part of the generated ISW is treated, while the remainder is stored for later treatment, which is referred to as carry-over between two adjacent periods. According to such a two-stage process (with carry-over), a network slacks-based measure model is proposed to measure the overall and divisional efficiencies of 30 Chinese regions during 2011-2015. The main findings are summarized in the following: firstly, failing to consider carry-over underestimates both overall and divisional efficiencies. Secondly, the average annual generation efficiency exceeded the average annual treatment efficiency during the study period; however, this gap increasingly narrowed. Thirdly, the overall efficiency is more closely related to the treatment efficiency than to the generation efficiency. Moreover, synergies were identified between generation efficiency and treatment efficiency for each region. Fourthly, significant regional differences affect both overall and divisional efficiencies, and significant stage efficiency differences also affect both coastal and inland areas. To increase the overall efficiencies of different regions of China, different policies are suggested.