Abstract

Objective To compare the effect of vaginal and laparoscopic myomectomy. Methods According to the digital table,98 patients with uterine fibroids were randomly divided into the two groups,the control group(n= 49 cases)and the observation group(n= 49 cases).The patients in the control group were operated through laparoscopic myomectomy,while the patients in the observation group were operated through vaginal myomectomy.The operative time,blood loss,postoperative gastric function recovery time,exhaust time,complications,recurrence and quality of life, etc.were observed. Results The operative time,blood volume were(115.4±29.4)min,(191.4±30.2)mL in the control group and(70.1±18.2)min,(156.1±21.6)mL in the observation group.The operative time,blood volume in the control group were more than those in the observation group,there were significant differences between the two groups(t= 3.169 4,2.162 8,P 0.05).Quality of life after operation was(7.26±2.01)in the control group,and(8.42±2.17)in the observation group.The quality of lifein the observation group improved more significantly than the control group(t= 0.361 8,3.901 6,all P<0.05). Conclusion Vaginal myomectomy had less trauma,quicker recovery,and help to improve the quality of life. Key words: Leiomyoma; Gynecologic surgical procedures

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