The Effect of Laparoscopic Pulverizer in Uterine Fibroid Removal Surgery and Its Impact on Postoperative Recurrence
Objective To explore the effect of laparoscopic pulverizer on uterine fibroid removal surgery and its impact on postoperative recurrence.Methods A total of 150 patients with uterine fibroids admitted to the gynecology depart-ment of the Taizhou Second People's Hospital,Jiangsu Province from February 2020 to March 2021 were randomly se-lected as the study objects.They were divided into two groups according to different treatment methods.The control group(n=75)underwent conventional myomectomy,and the observation group(n=75)underwent laparoscopic myomec-tomy using a pulverizer.Operation related indexes,sex hormone levels,complication rate and recurrence rate were compared between the two groups.Results The operation time of the observation group was(62.63±4.58)min,the post-operative anal exhaust time was(1.58±0.14)d,the postoperative ambulation time was(2.01±0.36)d,and the hospital-ization time was(4.25±0.42)d,which were shorter than that of the control group(73.17±5.84)min,(2.36±0.25)d,(3.02±1.41)d,(5.84±0.86)d,the intraoperative blood loss was(50.12±6.32)mL,less than the control group's(95.87±12.85)mL,the differences were statistically significant(t=12.780,23.575,6.010,14.387,27.667,all P<0.05).After operation,there was no significant difference in estradiol,luteinizing hormone and follicle stimulating hormone be-tween two groups(all P>0.05).The incidence of complications in the observation group was lower than that in the con-trol group,the difference was statistically significant(P<0.05).There was no significant difference in the residual and recurrence rates of fibroids between two groups(both P>0.05).Conclusion Laparoscopic myomectomy with pulverizer can reduce the damage to ovarian function,reduce the incidence of complications,and not increase the residual and recurrence rate of myoma,which has a high advantage in clinical application.
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