期刊
HUMAN REPRODUCTION
卷 15, 期 12, 页码 2663-2668出版社
OXFORD UNIV PRESS
DOI: 10.1093/humrep/15.12.2663
关键词
fertility; laparoscopy; laparotomy; large myoma; myomectomy
The purpose of this study was to compare, in infertile patients, the efficacy of laparoscopic myomectomy versus abdominal myomectomy, in restoring fertility and to evaluate the obstetric outcomes. Between January 1993 and January 1998, 131 patients of reproductive age, with anamnesis of infertility, underwent myomectomy because of the presence of at least one large myoma (diameter greater than or equal to5 cm), Patients were randomly selected for treatment by laparotomy (n = 65) or laparoscopy (n = 66), The two groups were homogeneous for number, size and position of large myomata, Significant differences mere found in the post-operative outcome: febrile morbidity (>38 degreesC) was more frequent in the abdominal than in the laparoscopic group (26.2 versus 12.1%; P < 0,05), Laparotomy caused a more pronounced haemoglobin drop (2.17 +/- 1.57 versus 1.33 +/- 1.23; P < 0.001); three patients received a blood transfusion after laparotomy and none after laparoscopy. The post-operative hospital stay was shorter in the laparoscopic group (142.80 +/- 34.60 versus 75.61 +/- 37.09 h; P < 0.001). No significant differences were found between the two groups as concerns pregnancy rate (55.9% after laparotomy, 53.6% after laparoscopy), abortion rate (12.1 versus 20%), preterm delivery (7.4 versus 5%) and the use of Caesarean section (77.8 versus 65%). No case of uterine rupture during pregnancy or labour was observed.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据