Comparative analysis of effect of uterine myomectomy surgery

Objective:To evaluate the clinical data of 235 cases of abdominal,vaginal and laparoscopic myomectomy,and to compare the advantages and disadvantages.Methods:Retrospective clinical analysis of abdominal myomectomy of 102 cases(abdominalgroup),vaginal myomectomy of 65 cases(vaginal group) and laparoscopic myomectomy of 68 cases(laparoscopic group) was performed.The operative time,intraoperative blood loss,weight of a single fibroid,exhaust time,postoperative morbidity and length of stay in hospital of each group were compared.Results:The operative time of laparoscopic surgery group(112.1±37.3 min) were longer than the abdominal group(96.3 ± 32.8min) and vaginal group(56.7±20.0min).The intraoperative blood loss of laparoscopic group(95.7±31.8ml) was higher than the vaginal group(59.5±21.0ml),but less than the abdominal group(119.2±40.6ml).The weight of a single fibroid of laparoscopic group(77.4±25.8g) was significantly lower than the abdominal group(124.7±42.5)g,higher than the vaginal group(68.6±24.2)g.Length of stay in hospital of laparoscopic group(4.7±1.0)d was significantly less than the abdominal group(7.5±1.6)d) and vaginal group(6.5± 1.5)d.Postoperative complications in each group and the relapse rate had no significant difference.Conclusion:Laparoscopic myomectomy and vaginal myomectomy have the advantages of small injury and quick recovery.Abdominal myomectomy has the advantage of broad indication.