Abstract
Objective To investigate the clinical effect of laparoscopic and hysteroscopic hysteromyomectomy and its influence on ovarian function and first pregnancy time. Methods A total of 130 cases of uterine myoma treated in Jincheng Coal Industry Group General Hospital from September 2015 to March 2018 were selected as the research objects, and the patients were randomly divided into control group and observation group, with 65 cases in each group. Control group received laparoscopic myomectomy, while observation group received hysteroscopic myomectomy. And the operation effects, ovarian function indexes and the time of first pregnancy before and after operation were compared between the two groups. Results The time of operation, amount of bleeding and exhaust time of observation group were lower than those of control group(P 0.05), and the level of FSH in control group was significantly higher than that of control group at 3 months after operation (P 0.05). The hospitalization time and first pregnancy time of observation group were lower than those of control group(P<0.05). Conclusions Compared with laparoscopic hysteromyomectomy, the hysteroscopic hysteromyomectomy has more significant clinical effect. The operation is less traumatic, without increase the patient’s operation time and the amount of intraoperative bleeding, and has no effect on the ovarian function of the patients, reduces the patient’s time of hospitalization, and shortens the first pregnancy time of the patients. It is worth popularizing in clinical practice. Key words: Laparoscopic myomectomy for myoma of uterus; Hysteroscopic electromyoma of uterine myoma under hysteroscopy; Ovarian function; First pregnancy time
Published Version
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