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| Clinical study on laparoscopic surgery and hysteroscopic surgery in the treatment of large type II submucosal fibroids |
| ZHONG Bo-lin ZHU Yan-ping YANG Xing-ling HUANG Gui-lian |
| Department of Gynecology,Ruijin Maternal and Child Health Hospital,Jiangxi Province,Ruijin 342500,China |
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Abstract Objective To analyze the clinical effect of laparoscopic surgery and hysteroscopic surgery in the treatment of large typeⅡsubmucosal fibroids.Methods A total of 36 patients with 5-6 cm typeⅡsubmucosal fibroids who were admitted to our hospital from February 2017 to January 1818 were selected as subjects.According to the different treatment methods,they were divided into the control group and the study group,with 18 cases in each group.The control group was given hysteroscopic myomectomy,while the study group was given laparoscopic myomectomy.The surgical related indicators(operation time,intraoperative blood loss,hospitalization time,time of postoperative antibiotic use),complication rate and one-time surgical success rate were analyzed and compared between two groups.Results The operation time,hospitalization time and postoperative antibiotic use time in the study group were longer than those in the control group,the amount of intraoperative blood loss was more than that in the control group,and the differences were statistically significant(P<0.05).The total incidence rate of complications in the study group (5.56%)was lower than that in the control group(33.33%),and the difference was statistically significant(P<0.05).The one-time surgical success rate in the study group(100.00%)was higher than that in the control group(77.78%),and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery can help improve the one-time surgical success rate and reduce complications in the patients with large typeⅡsubmucosal fibroids.However,hysteroscopic surgery can effectively save the operation time,reduce the amount of intraoperative blood loss,and shorten the length of hospital stay.Therefore,in practical work,the treatment plan can be decided according to the patients′condition and willingness.
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