Observation of Clinical Efficacy of Two Minimally Invasive Myomectomys

doi:10.3877/cma.j.issn.1673-5250.2011.04.015

Objective

To evaluate the clinical effects of two myomectomys by vaginal myomectomy and by laparoscopic surgery.

Methods

From January 2007 to April 2010, 95 cases with hysteromyoma were included into this study. They were divided into vaginal myomectomy group (n=50) and laparoscopic myomectomy group (n=45) according to the principle of similar condition. The study protocol was approved by the Ethical Review Board of Investigation in Human Beings of Suining First People's Hospital. Informed consent was obtained from all participants. There had no significant difference between two groups among ages, gravidities, parities, hysteromyoma pieces and diameter hysteromyoma, etc (P>0.05).

Results

There had significant difference of duration of operation, blood loss, anal exhaust time, rates of postoperative pain, postoperative morbidity, hospital stay between two groups (P<0.05).

Conclusion

In certain indications, the vaginal myomectomys was done with shorter operative time, postoperative pain, faster recovery of intestinal function, the body surface without leaving scars, shorter hospital stay than the laparoscopy.

Key words: myomectomy, vaginal myomectomy, laparoscopy, clinical efficacy

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