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| Clinical Effect Comparison of Different Operation Methods Myomectomy |
| Xingcheng People’s Hospital of Liaoning Province， Xingcheng 125100， China |
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Abstract Objective： To compare the clinical efficacy and characteristics between transabdominal myomectomy
（TAM） and laparoscopic myomectomy（LM）. Method： The clinical data of 98 patients who performed TAM or LM from January 2012 to May 2014 were retrospectively analyzed. According to the operation modes， patients were divided into TAM AM group（ n=67） and LM group（ n=31）. Comparison and analysis of operation duration， intra-operative blood loss，hospitalization period and postoperative recovery between the two groups were performed. Result： Operations were all succeed in both groups and no adjacent organ injury happened. The operation duration， intral-operative blood loss， anus
exhausting time， postoperative hospitalization period and postoperative morbidity of the observation group was（ 113±13.7）min，（ 99±11.9）mL，（ 33.4±6.3）h，（ 5.3±0.8）d and 8.9% respectively， and（ 83±7.2）min，（ 124±15）mL，（54±9.6）h，（ 7.2±0.6）d and 25.8% for the control group. The differences were statistically significant（ P<0.05）.Conclusion： TAM carries a wider scope of indications without being limited by the site and size of fibroid； while LM holds characteristics of less intra-operative blood loss， speedy post-operative and smaller injury. For specific operations，surgical techniques and operation procedures can be adopted flexibly to extend the scope of LM indications.
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