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| Effect of lparoscopic myomectomy guided by ultrasound for reducing the residual and postoperative recurrence rate of uterine myoma |
| Xinxiang Central Hospital, Henan Province, 453000 |
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Abstract To analyze the application of ultrasonic guidance in laparoscopic hysteromyomectomy, and to analyze its effect for reducing residue and recurrence rate of uterine myoma. Methods: 110 patients who underwent laparoscopic myomectomy were selected as research objects and were divided into group A (47 cases with traditional laparoscopic myomectomy) and group B (63 cases with laparoscopic myomectomy guided by ultrasound) according to the principle of voluntary selection from February 2016 to December 2018. Intraoperative indexes, postoperative complication rate, and uterine myoma residue and recurrence rates of the patients were compared between the two groups. Results: The operative time (85.8±28.5min) of the patients in group A was significant shorter than that (117.9±39.9min) of the patients in group B (P＜0.001). There were no significant differences in the amount of intraoperative blood loss, postoperative exhaust time, postoperative hospital stay, and postoperative complication rate of the patients between the two groups (P＞0.05). The incidence of residual uterine myoma (19.2%) and the number of residual uterine myoma (7.6%) of the patients in group A were significant higher than those (4.8% and 2.1%) of the patients in group B, the diameter of residual uterine myoma (2.27±0.74cm) and the recurrence rate of uterine myoma (19.2%) of the patients in group A were significant higher than those (1.25±0.33cm and 3.2%) of the patients in group B (all P＜0.05). There was no significant difference in the recurrence time of uterine myoma of the patients between the two groups (P＞0.05). Conclusion: Lparoscopic myomectomy guided by ultrasound can reduce the residual and postoperative recurrence rate of uterine myoma without increasing postoperative complication occurrence.
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