지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 193 - 199 (7page)
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초록· 키워드
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Objective: The aim of this study was to determine recurrence factors and reproductive outcomes of laparoscopic myomectomy (LM) and minilaparotomic myomectomy (MM) for treating uterine leiomyomas.
Methods: Between 2007 and 2013, 160 patients underwent myomectomy, including 122 who underwent LM and 38 who underwent MM. Patients were followed up for recurrence based on pelvic ultrasound exams. Only patients who were followed up for a minimum of two years were selected for this retrospective study. Pregnancy rate, delivery, and delivery methods were compared between the two groups to evaluate reproductive outcomes. Furthermore, mean age, body mass index, preoperative administration of gonadotropin-releasing hormone agonist (GnRHa), and characteristics of leiomyomas were investigated to determine recurrence factors.
Results: The mean body mass index in the MM group was significantly (P=0.048) higher than that in the LM group. The number and the largest diameter of removed leiomyoma were also significantly higher in the MM group (both P=0.001). Logistic regression after adjusting significantly different characteristics showed that the LM group had shorter (P=0.020) postoperative hospitalization days compared to the MM group. Other outcome variables including recurrence rate were not significantly different between the two groups. Reproductive outcomes such as pregnancy rate, delivery, and delivery methods were not significantly different between the two groups. Preoperative GnRHa therapy was the only significant (P=0.039) recurrence factor after myomectomy.
Conclusion: This study showed that LM and MM had similar recurrence rates and reproductive outcomes. The only recurrence factor of significance was preoperative administration of GnRHa.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Alessandri F / 2006 / Randomized study of laparoscopic versus minilaparotomic myomectomy for uterine myomas / J Minim Invasive Gynecol 13 : 92 ~ 97
Benedetti-Panici P / 1996 / Surgery by minilaparotomy in benign gynecologic disease / Obstet Gynecol 87 : 456 ~ 459
Doridot V / 2001 / Recurrence of leiomyomata after laparoscopic myomectomy / J Am Assoc Gynecol Laparosc 8 : 495 ~ 500
Fagotti A / 2002 / Minilaparotomy in early stage endometrial cancer: an alternative to standard and laparoscopic treatment / Gynecol Oncol 86 : 177 ~ 183
Fanfani F / 2004 / A prospective randomized study of laparoscopy and minilaparotomy in the management of benign adnexal masses / Hum Reprod 19 : 2367 ~ 2371
Benedetti-Panici P / 1996 / Surgery by minilaparotomy in benign gynecologic disease / Obstet Gynecol 87 : 456 ~ 459
Doridot V / 2001 / Recurrence of leiomyomata after laparoscopic myomectomy / J Am Assoc Gynecol Laparosc 8 : 495 ~ 500
Fagotti A / 2002 / Minilaparotomy in early stage endometrial cancer: an alternative to standard and laparoscopic treatment / Gynecol Oncol 86 : 177 ~ 183
Fanfani F / 2004 / A prospective randomized study of laparoscopy and minilaparotomy in the management of benign adnexal masses / Hum Reprod 19 : 2367 ~ 2371
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