原创力文档a prospective short-term evaluation of uterine leiomyomas treated by myomectomy through conventional laparotomy or ultraminilaparotomy：一个子宫肌瘤或子宫肌瘤剔除术ultraminilaparotomy通过常规开腹手术的短期治疗的前瞻性评估.pdfVIP
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a prospective short-term evaluation of uterine leiomyomas treated by myomectomy through conventional laparotomy or ultraminilaparotomy：一个子宫肌瘤或子宫肌瘤剔除术ultraminilaparotomy通过常规开腹手术的短期治疗的前瞻性评估
A prospective short-term evaluation of uterine
leiomyomas treated by myomectomy through
conventional laparotomy or ultraminilaparotomy
Kuo-Chang Wen, M.D.,a Pi-Lin Sung, M.D.,a Kuan-Chong Chao, M.D.,a Wen-Ling Lee, M.D.,b
Wei-Min Liu, M.D.,c and Peng-Hui Wang, M.D., Ph.D.a
a Department of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University School of
Medicine ; b Department of Medicine, Cheng Hsin Rehabilitation Center–Taipei and Institute of Clinical Medicine, National
Yang-Ming University ; and c Department of Obstetrics and Gynecology, Taipei Medical University Hospital and Taipei
Medical University, Taipei, Taiwan
Objective: To evaluate the short-term therapeutic outcome of myomectomy through conventional laparotomy in
the treatment of uncomplicated uterine myomas compared with myomectomy through ultraminilaparotomy.
Design: Controlled, nonrandomized clinical study.
Setting: University-affiliated tertiary care referral center.
Patient(s): One hundred thirteen patients with symptomatic and uncomplicated uterine myomas warranting sur-
gical treatment, who expressed a strong desire to retain their uterus. Seventy-two patients underwent myomectomy
by laparotomy and 41 by ultraminilaparotomy.
Intervention(s): Myomectomy through laparotomy or ultraminilaparotomy access.
Main Outcome Measure(s): The outcome was measured by comparing blood loss, need for blood transfusion, op-
erative time, postoperative febrile morbidity, time of flatus passage after operation, and postoperative pain (visual
analogue scale score and anesthesia use) in both groups.
Result(s): General characteristics of
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