Clinical study of radical laparoscopic myomectomy in 31 cases
- Author:
Fang-rong SHEN
1
;
Hong-hong CAI
1
;
Jin-feng DAI
;
Juan WANG
1
;
Jin-hua ZHOU
1
;
Jing QIAN
1
;
You-guo CHEN
1
Author Information
- Publication Type:Journal Article
- Keywords: multiple uterine fibroids; preserve uterus; laparoscopic; radical resection; maintain menstruation; recurrence
- From: Chinese Journal of Practical Gynecology and Obstetrics 2019;35(12):1350-1353
- CountryChina
- Language:Chinese
- Abstract: OBJECTIVE: To study the characteristics and clinical application of radical laparoscopic myomectomy.METHODS: Retrospectively analyze the clinical data of 31 patients with uterine leiomyomas undergoing laparoscopic radical myomectomy at the Department of Obstetrics and Gynecology,the First Affiliated Hospital of Soochow University,from January 2016 to December 2018.The surgical indications,operation time,intraoperative blood loss,postoperative menstrual recovery,postoperative uterine fibroid recurrence rate and postoperative sexual and life quality change indicators were analyzed.RESULTS: All patients were with multiple uterine fibroids(averaged 42.6±3.5 years),and all of them received successful operation.There were no patients who underwent laparotomy or hysterectomy.The postoperative fibroids residual rate among the 31 patients was 3.23%(1 case).The recurrence rate of postoperative uterine fibroids half a year later was 9.68%(3 cases).Five patients has no significant change in postoperative menstruation volume while the other 25 patients had volume reduction(t=8.614,P<0.01)and 1 patient was without postoperative menstruation(whose preoperative menstrual quantity was less).Evaluation by the visual scoring system found no significant difference in the sexual life quality before and after surgery(t=0.001,P>0.05).Only one patient suffered from hot flashes,night sweating and other menopausal symptoms.WHOQOL-BREF scale was used for patients to assess preoperative and postoperative quality of life,and there were obviously improved psychological and physiological score in patients after operation(P<0.05).CONCLUSION: For women with multiple uterine fibroids who have surgical indications and a strong desire to retain the uterine but have no fertility requirements,radical laparoscopic myomectomy may be the most effective surgical therapy,which can achieve the purpose of surgical treatment,improving the resection rate,and maintaining low postoperative recurrence rate,preserving menstruation and the function of uterus and ovary,and increasing the sexual life quality.
