Comparison of clinical efficacy of two kinds of myomectomy in treatment of hysteromyoma

Objective:To compare the clinical efficacy of laparoscopic myomectomy and abdominal myomectomy in treatment of hysteromyoma.Methods:The clinical data of 63 cases undergoing laparoscopic myomectomy and 61 cases undergoing abdominal myomectomy were analyzed retrospectively,the operation time,intraoperative blood loss,anal exsufflation time,treatment time of antibiotics,incidence of postoperative infection,time of temperature recovery to normal and hospitalization days in the two groups were compared.Results:All the surgeries were successful,the operation time in laparoscopic myomectomy group was longer than that in abdominal myomectomy group(P0.05).However,the intraoperative blood loss and amount of hysteromyoma in laparoscopic myomectomy group were significantly fewer than those in abdominal myomectomy group(P0.05),the time of temperature recovery to normal,anal exsufflation time,treatment time of antibiotics and hospitalization days in laparoscopic myomectomy group were shorter than those in abdominal myomectomy group,the cases in the two groups were followed up for six months at most,the mean recovery time in laparoscopic myomectomy group was shorter than that in abdominal myomectomy group(P0.05),no obvious myoma nodules were detected by B type ultrasound during follow-up.Conclusion:Laparoscopic myomectomy is a minimally invasive surgery with the advantages of less injury,rapid recovery,short hospitalization days,which is worthy to be recommended.