Whether Retaining Myoma Pseudocapsule Has Effect on the Healing of Uterine Wound of Hysteroscopic Myomectomy?
HUANG Xiao-wu
XIA En-lan
HUANG Rui
XU Ruo-nan
HAN Xiao
YANG Hai-yan
Abstract：Objective:The aim of this study was to evaluate whether retaining myoma pseudocapsule has effect on the healing of uterine wound of hysteroscopic myomectomy for symptomatic type 2 uterine myoma (according to classification for myoma of FIGO, 2011). Methods:From January 2014 to September 2017 in Fuxing hospital, cases of type 2 uterine myoma (single, larger than 2.5 cm) were collected for heaving uterine bleeding and were performed one -step hysteroscopic myomectomy. A total of 70 cases were divided into 2 groups, the myoma pseudocapsule were retained after myomectomy for Group A (35 cases),the myoma pseudocapsule protruding into the uterine cavity were removed for Group B (35 cases).The following medical data were recorded:the age of patients,the size of the myoma,pre-operative treatment by GnRH analogue, operation time, blood loss during the operation, surgical complications. At 1 and 3 months after the operation, second-look hysteroscopy was performed to observe and compare the uterine cavity wounds healing condition of the two groups. Results:There is no significant difference of patients′ age, size of the myoma and the use of pre-operative GnRHa between the two groups;the mean operation time of group A was(33.3±12.3)min(range 17~65 min),the operation time of group B was(32.7± 12.1)min(range 18~70 min),there was no significant difference(t=0.195,P=0.846).The mean volume of intra-operative blood loss of' group A was (26.4+16.3) mL (10-50 mL), the mean volume of' intra-operative hlood loss of' group B was (26.7+15.8) mL(10-50 mL), there was no statistical diff'erenc-.e (t=-0.074.P=0.941); the incidence of' intrauterine adhesions after I months was 5.71% (2/35) in group A and 20.00% (7/35) in group B, there was no signif'icant diff'erence ( X2=3.188 ,P=0.074); the incidenc:e of' intrauterine adhesions after 3 months was 0 (0/35) in group A and 11.43% (4/35) in group B, there was significant differenc:e (P=0.039). Conclusions:Myoma pseudocapsule should be protected and retained for hysteroscopic: myomectomy surgery.Second-Iook hvsteroscopy is important f'or prevention intrauterine adhesion after hysteroscopic myomectomy.
Keywords：Type 2 uterine myomaMyoma pseudocapsuleHysteroscopesHysteroscopy
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 89-93 )