Comparison study of offect of three ways of the hysteromyomectomy

Abstract

Objective To evaluate the feasibility,clinical effect and safety of transabdominal myomectomy (TAM) ,transvaginal myomectomy(TVM) and laparoscopic myomectomy(LM). Methods To compare the effects of operation and recovery,retrospectively analysis were done on the clinical data of 52 cases of TAM 35 cases of TVM and 30 cases of LM. Results The mean operation time was significantly shorter in the TAM group[(94. 5 ±21.3)min] than that in the LM group[( 131.2 ±49. 2)min] and TVM group[( 109. 8 ±32. 5)min] (P ＜0. 05) ;The intraoperation hemorrhage volume was significantly less in the TVM group[(121.5 ± 90. 5 )ml] than that in the TAM group [( 151.6 ± 90. 8 ) ml] and the LM group [( 149.6 ± 96. 8 ) ml] ( P ＜ 0. 05 ); About the time of gas passage by anus,the TVM group[(24. 3 ±6. 7)h] occupied the shortest time was the least,there were significant differences among the three groupa( P ＜0. 05 );The mean operation time ,the highest temperature after operation, the active time after get up,hospitalization days and temperature recovery time,there was no difference between TVM group and LM group( P ＞ 0. 05). Conclusion TVM could be performed in selected patients because it shows several advantages including good safety, less trauma, less pain, quick recovery, less complications. Key words: Leiomyoma; Gynecologic surgical procedures; Laparoscopy