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| Clinical effect of transumbilical single port laparoscopic myomectomy for the treatment of uterine fibroids |
| XIAO Juan LUO Jian-xiu WEI He-hua |
| Department of Gynecology, Ganzhou People′s Hospital, Jiangxi Province, Ganzhou 341000, China |
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Abstract Objective To explore the clinical effect of transumbilical single port laparoscopic myomectomy for the treatment of uterine fibroids. Methods A total of 80 patients with uterine fibroids who were treated in our hospital from February 2018 to March 2019 were selected as the research objects. They were divided into control group and observation group by a random number table method, with 40 cases in each group. The control group was treated with porous laparoscopic myomectomy, and the observation group was treated with transumbilical single-port laparoscopic myomectomy. The clinical indicators, postoperative follow-up, pain degree, satisfaction, complications, and pelvic-abdominal implantation were compared between the two groups. Results The operation time in the observation group was longer than that in the control group, the amount of intraoperative blood loss was less than that in the control group, and the anal exhaust time was shorter than that in the control group, the differences were statistically significant (P＜0.05). There was no statistical difference in the length of hospitalization time between the two groups (P＞0.05). After 6 months of follow-up, there was no significant difference in normal menstrual rate between the two groups (P＞0.05); the recurrence rate of fibroids in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05); the pain visual analogue scale (VAS) score and the body image scale (BIS) score in the observation group were lower than those in the control group, the cosmetic score (CS) was higher than that in the control group, the differences were statistically significant (P＜0.05). There were no significant differences in the total incidence of postoperative complications and the rate of pelvic-abdominal implantation between the two groups (P＞0.05). Conclusion The effect of transumbilical single port laparoscopic myomectomy for patients with uterine fibroids is significant, which can effectively reduce the postoperative pain and reduce the possibility of intraperitoneal implantation of fibroids or sarcomas, and the postoperative incision is beautiful and does not increase complications occur.
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