Kết quả phẫu thuật bóc u xơ tử cung tại Khoa Phụ, Bệnh viện A Thái Nguyên

Abstract

Objective: Describe clinical and paraclinical characteristics, comment on the results of uterine fibroid  surgery (UXTC) and some related factors. Subject and method: Retrospective cross-sectional descriptive method of all uterine fibroid patient records diagnosed and operated by laparoscopic or open surgery to remove uterine fibroids and the post-operative pathological results were uterine fibroids without any cancerous pathology at Department of Obstetrics and Gynecology of Thai Nguyen A Hospital from Janury to December 2024. Result: The average age of the study group was 42.02 ± 6.77. Abdominal pain was the most common functional symptom, accounting for 67.5%. Ultrasounds indicate that the patients having one tumor made up the highest rate of 80%. The tumor size of ≥ 5cm accounted for 42.5%. Those with laparoscopic surgery accounted for 39.2%. During surgery, the highest amount of blood loss in the abdominal cavity was from 100 - 300ml, accounting for 92.5%. The average laparoscopic surgery time was 66.98 ± 22.12 minutes, the average open surgery time was 62.6 ± 26.61 minutes. There is a correlation between the number and size of tumors and the surgical approach. Conclude: The average age of the study group was 42.02 ± 6.77. Abdominal pain was the most common functional symptom. Ultrasounds indicate that the patients having one tumor occupy the majority. The tumor size of < 5cm high proportion. Laparoscopic surgery rate is lower than open surgery. The difference in surgical time between the two methods of open and laparoscopic surgery was not statistically significant with p>0.05. There was a statistically significant difference in blood loss, number, and size of tumors with the surgical method with p<0.05.