Analysis Of Clinical Data Of Cervical Fibroids

Objective:To investigate the therapeutic effects of different surgical treatments for patients with cervical fibroids,and to compare the relationship between surgical treatment and fibroid size and the factors affecting surgical treatment.Methods:A total of 120 patients who underwent surgical treatment of cervical fibroids at the Affiliated Hospital of Qingdao University from December 2008 to March 2018 were enrolled.The patients were divided into the uterus-preserving group and the uterus-removing group.A total of 71 patients in the uterus treatment group were enrolled,including 36 patients with laparoscopic myomectomy(LM),21 patients with abdominal uterine myomectomy(TAM),and 14 patients with hysteroscopic myomectomy(TCRM).A total of 49 patients underwent uterine resection,including 21 cases of laparoscopic hysterectomy(LTH)and 28 cases of total abdominal hysterectomy(TAH).According to the diameter of the fibroids,whether or not the uterus was preserved,the matching groups were compared separately,and the general clinical data and perioperative data characteristics were analyzed.Results:When the diameter of cervical fibroids was less than or equal to 5 cm,the operative time,discharge time after operation and postoperative anus exhaust time of the TCRM group were shorter than those of the LM group when patients treated with TCRM and LM,and the difference was statistically significant(P<0.05).When cervical fibroids were larger than 5 cm in diameter and treated with TAM and LM,the operation time in the TAM group was shorter than that in the LM group,and the intraoperative blood loss,discharge time after operation,and postoperative anus exhaust time in the LM group were shorter to those in the TAM group,the difference was statistically significant(P < 0.05).When treating cervical myoma with a large diameter,the conversion rate of LM to laparotomy is higher,and TAM has more advantages.When patients with cervical myoma were treated with hysterectomy,the discharge time after operation and postoperative anus exhaust time in patients treated with LTH were shorter to those in TAHgroup,the difference was statistically significant(P<0.05).Conclusion:Choosing different surgical methods to treat cervical myoma requires comprehensive consideration of the patient's myoma diameter,operation time,hospitalization time,postoperative recovery and the incidence of surgical complications and other factors.As a gynecologist,grasping the clinical frontier progress of these surgical methods,strictly grasping their respective advantages and disadvantages,and reasonably choosing surgery methods appropriately according to patients' needs and physiological conditions can bring better therapeutic effect to patients,and also make our treatment more precise.