Clinical analysis of 190 patients with myomectomy by laparoscope

Abstract

Objective To investigate the clinical effect of laparoscopic operation and laparotomy in the treatment of uterine fibroids. Methods A retrospective analysis of uterine fibroids and requests to retain the clinical data of 380 cases of uterine of patients, according to treatment methods, they were divided into laparoscopic myomectomy group(group A)and cesarean section uterine fibroids removed surgery group(B group), there were 190 cases, two groups of patients, surgery, clinical effect were analyzed. Results In group A,operation time, postoperative exhaust time,postoperative ambulation time, postoperative VAS score, duration of hospitalization, injection of analgesics application proportion were(96±35)min,(24±8.5)h,(12±4)h,(2.0±1.5),(4.0±1.2)d,17.8%,patients in the group B respectively(98±28)min,(40±12)h,(20±8)h,(6.0±1.3), (8±2)d,84.6% there was a significant differences between the two groups(t=- 2.558,33.96,45.810,50.571,34.120,χ2= 169.89,all P 0.05);group A,the complication rate was 7.34%,lower than the 12.6% in the group B,there was significant difference between the two groups(χ2= 3.923,P< 0.05). Conclusion Laparoscopic myomectomy in treatment of uterine fibroids, good effect, less trauma, quicker recovery, shorter hospitalization time of patients, should be further popularized in clinic. Key words: Laparoscopy; Uterine fibroids; Obsterics and gynecology operation