Clinical effect of transvaginal and laparoscopic myomectomy
10.3760/cma.j.cn115455-20200605-00710
- VernacularTitle:经阴道与经腹腔镜手术切除子宫肌瘤的临床疗效对比
- Author:
Bing QIAO
1
;
Xiaotong LIU
;
Fangfang GUO
Author Information
1. 大连大学附属新华医院妇科，大连 116000
- Keywords:
Leiomyoma;
Vaginal myomectomy;
Laparoscopic myomectomy;
Comparative effectiveness research
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(6):542-545
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical effect of transvaginal and laparoscopic myomectomy.Methods:A total of 40 cases treated with hysteromyomectomy in Xinhua Hospital Affiliated to Dalian University and Dalian Women′s and Children′s Medical Center from Decedmber 2018 to March 2020 were selected as the research objects. According to the random number table method, they were assigned into the observation group (20 cases) and the control group (20 cases). In the observation group, hysteromyomectomy was performed via vagina, and in the control group, hysteromyomectomy was performed via laparoscope. Then the time of operation, the amount of bleeding, the recovery time of gastrointestinal function, 24 h postoperative drainage, 12 h postoperative pain and hospitalization expenses were compared between the two groups.Results:The operation of the observation group and the control group were completed as planned. The operation time, the amount of bleeding of the observation groupwere less than those of the control group: (69.75 ± 19.43) min vs. (84.50 ± 22.4) min, (119.25 ± 56.37) ml vs. (159.00 ± 63.73) ml, the differences were statistically significant ( P<0.05). The recovery time of gastrointestinal function, 24 h postoperative drainage, 12 h postoperative pain in two groups had no significant differences ( P>0.05). The hospitalization expenses in observation group was lower than that in control group: (2.27 ± 0.12) ten thousand Yuan vs. (2.66 ± 0.10) ten thousand Yuan, the difference was statistically significant ( P<0.05). Conclusions:Compared with laparoscopic myomectomy, transvaginal myomectomy has the advantages of shorter operation time, less bleeding and less hospitalization expenses.
