Comparative Outcomes Between Transvaginal Myomectomy and Laparoscopic Myomectomy

doi:10.3877/cma.j.issn.1673-5250.2013.06.021

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2013, Vol. 09 ›› Issue (06): 809 -811. doi: 10.3877/cma.j.issn.1673-5250.2013.06.021

Special Issue: ；

Original Article

Comparative Outcomes Between Transvaginal Myomectomy and Laparoscopic Myomectomy

Wei-ping GAO¹(), Qiong-na LIU¹, Ting-ting LIU¹

^1. Department of Obstetrics and Gynecology, Huai' an Second People's Hospital, Huan'an 223002, Jiangsu Province, China

Received:2013-04-11 Revised:2013-09-14 Published:2013-12-01
Corresponding author: Wei-ping GAO
About author:
(Corresponding author : GAO Wei-ping, Email : hagwp@sina. com)

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Objective

To compare the clinical effectiveness, safety between transvaginal myomectomy (TVM). and laparoscopic myomectomy.

Methods

The clinical data of 35 patients with TVM (TVM group) and 41 patients with laparoscopic myomectomys (laparoscope group) between June 2006 to June 2010 in Huan'an Second People's Hospital were collected and compared. There was no statistical differences on age,the size of uterine fibroid,history of vaginal delivery and operation on pelvis in the past medical history between the two groups.

Results

No statistical differences were found in the successful rate of operation, operation duration, duration, blood loss,myoma size,the time of first passage of flatus and postoperative morbidity between 2 groups (P>0. 05). More myoma, shorter hospital stays and less hospitalization expenses were achieved in TVM group compared with laparoscope group.

Conclusions

TVM is highly recommended because of its mininal invasiveness, safety and economy advantages.

Key words: colpomyomectomy, transvaginal myomectomy, laparoscopic myomectomy

表1 两组患者的一般临床资料比较( ± s)

Table 1 Comparison of clinical data between two groups ( ± s)

组别	n	年龄 (岁）	盆腔手术史 [n(%)]	阴道分娩史[n(%)]	肌瘤最大直径 (cm)
阴式组	35	44. 23±12. 13	10(28. 57)	12(34. 28)	4. 50±1. 67
腹腔镜组	41	47. 34±13. 81	12(29. 27)	14(34. 15)	4. 23±1. 38
t/χ²	?	0. 19	0. 04	1. 63×10^-4	0. 83
P	?	0. 85	0. 95	0. 99	0.41

表1 两组患者的一般临床资料比较( ± s)

Table 1 Comparison of clinical data between two groups ( ± s)

组别	n	年龄 (岁）	盆腔手术史 [n(%)]	阴道分娩史[n(%)]	肌瘤最大直径 (cm)
阴式组	35	44. 23±12. 13	10(28. 57)	12(34. 28)	4. 50±1. 67
腹腔镜组	41	47. 34±13. 81	12(29. 27)	14(34. 15)	4. 23±1. 38
t/χ²	?	0. 19	0. 04	1. 63×10^-4	0. 83
P	?	0. 85	0. 95	0. 99	0.41

表2 两组患者的术中情况比较(±s)

Table 2 Intraoperative conditions between two groups (±s)

组别	n	手术时间 (min)	术中出血量 (mL)	浆膜下肌瘤[n(%)]	肌壁间肌瘤 [n(%)]
阴式组	35	69. 43±41. 28	89. 14±62. 27	11(31.43)	24(68. 57)
腹腔镜组	41	75.12±34.40	72. 07±43. 17	25(60.98)	16(39.02)
t/χ²	?	0. 66	1.41	6. 61
P	?	0. 51	0. 16	0. 01

表2 两组患者的术中情况比较(±s)

Table 2 Intraoperative conditions between two groups (±s)

组别	n	手术时间 (min)	术中出血量 (mL)	浆膜下肌瘤[n(%)]	肌壁间肌瘤 [n(%)]
阴式组	35	69. 43±41. 28	89. 14±62. 27	11(31.43)	24(68. 57)
腹腔镜组	41	75.12±34.40	72. 07±43. 17	25(60.98)	16(39.02)
t/χ²	?	0. 66	1.41	6. 61
P	?	0. 51	0. 16	0. 01

表3 两组患者的术后情况比较(±s)

Table 3 Postoperative conditions between two groups (±s)

组别	n	术后病率 [n(%)]	术后肛门排气时间 (d)	术后住院时间 (d)	住院费用（元）
阴式组	35	2(5.71)	1. 35 ± 0. 56	6. 11±0. 87	6981. 06 ± 669. 87
腹腔镜组	41	3(7. 32)	1. 18±0. 76	7. 05±0. 74	90 845. 27 ± 860. 36
t/χ²	?	0. 05	1. 19	5.07	2.41
P	?	0. 83	0. 85	0. 00	0. 01

表3 两组患者的术后情况比较(±s)

Table 3 Postoperative conditions between two groups (±s)

组别	n	术后病率 [n(%)]	术后肛门排气时间 (d)	术后住院时间 (d)	住院费用（元）
阴式组	35	2(5.71)	1. 35 ± 0. 56	6. 11±0. 87	6981. 06 ± 669. 87
腹腔镜组	41	3(7. 32)	1. 18±0. 76	7. 05±0. 74	90 845. 27 ± 860. 36
t/χ²	?	0. 05	1. 19	5.07	2.41
P	?	0. 83	0. 85	0. 00	0. 01

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[1]	Yiping Li, Youliang Yan, Xiuzhong Wang, Liangyin Zhong, Jie Zhong. Comparative study of transabdominal and laparoscopic myomectomy[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2017, 13(01): 61-64.

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Comparative Outcomes Between Transvaginal Myomectomy and Laparoscopic Myomectomy

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