Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2017, Vol. 13 ›› Issue (01): 61 -64. doi: 10.3877/cma.j.issn.1673-5250.2017.01.011

Special Issue:

Original Article

Comparative study of transabdominal and laparoscopic myomectomy

Yiping Li1,(), Youliang Yan2, Xiuzhong Wang1, Liangyin Zhong3, Jie Zhong4   

  1. 1. Department of Obstetrics and Gynecology, Zhongshan Dongsheng Hospital of Guangdong Province, Zhongshan 528412, Guangdong Province, China
    3. Department of Clinical Laboratory, First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou 510080, Guangdong Province, China
    4. Department of Gynecology, East City Hospital of Shanghai Yangpu District, Shanghai 200430, China
  • Received:2016-08-31 Revised:2016-12-19 Published:2017-02-01
  • Corresponding author: Yiping Li
  • About author:
    Corresponding author: Li Yiping, Email:
Objective

To explore the residual, recurrence and pregnancy outcomes of uterus myoma (UM) patients with transabdominal and laparoscopic myomectomy.

Methods

From January 2009 to December 2015, a total of 116 cases of UM patients in Department of Obstetrics and Gynecology, Zhongshan Dongsheng Hospital of Guangdong Province were selected as research objects. According to the random number table method, they were divided into the observation group (n=58) and control group (n=58). The patients in observation group were treated with laparoscopic myomectomy, and the patients in control group underwent routine laparotomy myomectomy. The transoperative bleeding volume, operation duration, length of hospitalization, removal number of UM, removal weight of UM, postoperative complications, and postoperative pregnancy outcomes, UM recurrence and residual between two groups were analyzed by statistical methods. There were no significant differences between two groups in the age, diameter and number of UM and constituent ratio of solitary and multiple UM (P>0.05). All the UM patients who agreed to accept this study signed the informed consent.

Results

①Compared with control group, both the transoperative bleeding volume and removal number of UM in the observation group were significantly reduced, and both the operation duration and length of hospitalization were significantly shortened, and removal weight of UM decreased significantly, and all the differences were statistically significant (t=7.136, P=0.029; t=4.913, P=0.041; t=9.259, P=0.017; t=5.715, P=0.035; t=8.149, P=0.023). ②The incidence of postoperative complication in observation group was 15.5% (9/58), which was significantly lower than 27.7% (16/58) in control group, and the difference was statistically significant (χ2=4.132, P=0.045). ③There were no significant differences between two groups in the rates of UM residual, UM recurrence and pregnancy (χ2=0.892, P=0.345; χ2=1.335, P=0.248; χ2=0.637, P=0.425).

Conclusions

Postoperative UM residual, recurrence and pregnancy outcomes of transabdominal and laparoscopic myomectomy are similar. But the operation duration, length of hospitalization and transoperative bleeding volume of laparoscopic myomectomy are superior to transabdominal myomectomy, and leads to less postoperative complications with high safety.

表1 2组子宫肌瘤患者手术情况比较(±s)
表2 2组子宫肌瘤患者术后并发症发生情况比较[例数(%)]
表3 2组子宫肌瘤患者术后肌瘤残留、复发及妊娠结局比较[例数(%)]
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