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| Comparison of the therapeutic effect between the laparoscopic myomectomy and the transabdominal myomectomy for treating patients with fertility requirement |
| Mudanjiang Maternal and Child Health Care Hospital, Mudanjiang, Heilongjiang Province,157000 |
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Abstract To analyze the therapeutic effect of the laparoscopic myomectomy and the open myomectomy for treating patients with fertility requirements. Methods: The clinical data of the patients with uterine fibroids and fertility requirement who had undergone open myomectomy(82 cases in group A) or laparoscopic myomectomy(82 cases in group B) from January 2019 to January 2021 were analyzed retrospectively. The operative efficacy, the rates of intraoperative and postoperative complications, and the pregnancy situation within 2 years of follow-up after operation of the patients were compared between the two groups. Results: There was no significant difference in the total effective rate(93.0% vs. 100.0%) of the patients between the two groups(P>0.05). The operation time(72.7±11.5 min), the intraoperative blood loss(85±16ml), the duration of postoperative hospital stay(8.7±1.3d) and the pain disappearance time(3.7±0.5d) of the patients in group B were significantly lower than those(85.1±12.4 min, 135±32ml, 13.0±2.8d and 7.8±2.1d) of the patients in group A. The total incidence of postoperative complications(12.2%) of the patients in group B was significantly lower than that(40.2%) of the patients in group A(P<0.05). There was no significant difference in the pregnancy rate within 2-year(59.8% vs. 45.1%) of the patients between the two groups, and there was no significant difference in the mode of pregnancy of the patients between the two groups(all P>0.05). The abortion rate after pregnancy(37.8%) and the cesarean section rate(85.7%) of the patients in group B were significantly higher than those(16.2% and 15.9%) of the patients in group A(all P<0.05). Conclusion: The therapeutic effect of the laparoscopic myomectomy and the open myomectomy for treating the patients with uterine fibroids and fertility requirements is similar. However, the laparoscopic myomectomy for treating patients with fertility requirements has better perioperative indicators and less postoperative complications, and the open hysteromyoma for treating patients with fertility requirements has relatively better pregnancy outcomes after operation.
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