Clinical pairing research of laparoscope and laparotomy for resecting hysteromyoma

Objective: To explore the risk and clinical value of laparoscope and laparotomy in resecting hysteromyoma.Methods:The intramural or subserosal hysteromyoma of 56 patients were resected by laparoscope and laparotomy,and these patients were divided into laparoscope and laparotomy group,respectively(each group 28 cases).The operation time,the hospital stays,the amount of bleeding during operation,the time of independent activity,body temperature recovery and anal exhaust after operation,the postoperative analgesic drug use,the postoperative highest body temperature,the blood routine test at 3 days after operation and the postoperative complications of two groups were investigated by match method.Results:The hospital stays,the amount of bleeding during operation,the time of independent activity,body temperature recovery and anal exhaust after operation,the postoperative analgesic drug use,the time of postoperative blood routine recovery of laparoscope group were less than those in laparotomy group (P0.05 to P0.01).The operation time of laparoscope group was longer than that of laparotomy group(P0.01).Conclusions:Compared with the laparotomy group,laparoscopic myomectomy is safe,effective,small trauma,less intraoperative bleeding and rapid recovery.