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| Efficacy of Laparoscopic Myomectomy for Uerine Leiomyoma and Influence on Anti-Mullerian Hormone and Cervical Microcirculation |
| CHEN Tiping, PENG Shihan, LUO Dan |
| Luzhou People's Hospital, Sichuan Luzhou 646000, China |
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Abstract Objective: To investigate the efficacy of laparoscopic myomectomy for uterine leiomyoma and the influence on anti-Mullerian hormone (AMH) and cervical microcirculation. Methods: 95 patients with uterine leiomyoma admitted to our hospital from February 2015 to March 2018 were selected as the study subjects. They were randomly divided into observation group (n=50) and control group (n=45). The control group was treated with open hysteromyomectomy, while the observation group was treated with laparoscopic hysteromyomectomy. The operation time, hospitalization time, bleeding volume, recovery time of gastrointestinal tract, antimullerian hormone, follicle stimulating hormone (FSH), blood perfusion, capillary diameter, loop shape integral, blood flow integral and postoperative complications were compared between the two groups. Results: After treatment, operation time, hospital stay, blood loss and postoperative gastrointestinal recovery time of the observation group were significantly lower than those of the control group (P<0.05). There was no significant difference in AMH and FSH before treatment between the two groups. After treatment, AMH level in the observation group was significantly higher than that in the control group, and FSH level was lower than that in the control group (P<0.05). There was no significant difference between the two groups in the blood perfusion before treatment, capillary vessel diameter, and tubular loop shape integral and blood flow integral of nail fold microcirculation. After treatment, the shape integral and blood flow integral of the tubule loop in the blood perfusion and nail fold microcirculation were significantly lower in the observation group than in the control group, and the capillary diameter was higher than that in the control group (P<0.05). During the treatment, the total incidence of complications in the observation group was 4.00%, significantly lower than 22.22% in the control group (P<0.05). Conclusion: Laparoscopic myomectomy in patients with uterine leiomyoma has a significant effect, and has little effect on AMH level and cervical microcirculation. It is worth popularizing and applying.
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2019, Vol. 25 
