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Objective: To analyze the feasibility of different surgical methods for treating uterine fibroids and their impact on ovarian function. Methods: 90 patients with uterine fibroids admitted to our hospital from December 2018 to April 2023 were divided into Group A and Group B, with 45 patients in each group. Group A underwent laparoscopic myomectomy (LM) and Group B underwent transcervical resection of myoma (TCRM). The patients were followed up 3 months after surgery and their clinical indexes were compared. Results: The duration of hospitalization, surgery, anal ventilation, and getting out of bed were shorter in Group B. Besides, Group B also experience less intraoperative bleeding (P 0.05). The Female Sexual Function Index scores of two groups increased significantly after surgery, with Group B showing a more drastic increase (P 0.05). Conclusion: Both LM and TCRM are effective in treating uterine fibroids with little impact on ovarian function and complications. However, TCRM is associated with reduced bleeding, quicker postoperative recovery, decreased pain, and an enhanced quality of sexual life. Therefore, this surgical approach appears more beneficial for improving prognosis.
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Mei Jiang (Thu,) studied this question.
synapsesocial.com/papers/68e64f88b6db6435875e03d8 — DOI: https://doi.org/10.26689/aogr.v2i2.7119
Mei Jiang
Advances in Obstetrics and Gynecology Research
Shandong Maternal and Child Health Hospital
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