Abstract：
Fibroids are the most common benign tumours of the uterus, often requiring surgery when symptomatic. This study aims to investigate the impact of surgery using two methods, laparoscopy and laparotomy, on the thickness and vascularity of the uterine myometrium at the site of myomectomy scar (comparing sonographic features at the surgical scar site, including thickness, vascularity, and the extent of fibrotic tissue, in both open and laparoscopic surgical approaches). In this clinical trial, 100 women with type 2-5 fibroids and clinical symptoms, seeking surgery et al. Zahra Hospital, were enrolled in two groups: laparoscopy and laparotomy. Inclusion criteria were a maximum fibroid size of 8 cm and, in the case of multiple fibroids, a maximum of three, with the largest being 8 cm. 6 months post-surgery, sonographic assessments of the myomectomy scar site were compared between both groups. Participants showed no significant differences in demographic and obstetric factors. The most common clinical symptom (87%) in both groups was abnormal uterine bleeding (AUB). The mean hospital stay duration was statistically significantly lower in the laparoscopy group at 1.64 (SD 0.56) compared to 1.89 (SD 0.58) in the laparotomy group (p = 0.028). Additionally, the decrease in haemoglobin levels was 0.89 (SD 0.92) and 1.87 (SD 2.24) units, respectively, which showed a statistically significant difference (p = 0.003). The duration of surgery was significantly shorter in the laparotomy group (p = 0.001). Abdominal pressure was not observed in the laparoscopy group, while 12% of the laparotomy group reported complaints (p = 0.013). Based on the results obtained in this study, it can be concluded that there was no difference between these two methods in terms of improving uterine thickness and associated complications. However, the decrease in haemoglobin levels and the length of hospital stay were lower in patients undergoing laparoscopy.
摘要：
肌瘤是子宫最常见的良性肿瘤,有症状时通常需要手术。本研究旨在探讨两种方法对手术的影响，腹腔镜和剖腹手术，关于子宫肌瘤切除术瘢痕部位子宫肌层的厚度和血管分布（比较手术瘢痕部位的超声特征，包括厚度,血管，和纤维化组织的范围，在开放和腹腔镜手术方法中)。在这个临床试验中,100名女性2-5型肌瘤和临床症状，寻求手术等。Zahra医院,分为两组：腹腔镜和开腹手术。纳入标准是最大肌瘤大小为8厘米，在多发性肌瘤的情况下，最多三个,最大的是8厘米。术后6个月,比较两组间子宫肌瘤剔除瘢痕部位的超声评估.参与者在人口统计学和产科因素方面没有显着差异。两组中最常见的临床症状（87％）是异常子宫出血（AUB）。与开腹手术组的1.89（SD0.58）相比，腹腔镜组的平均住院时间在统计学上显着降低了1.64（SD0.56）（p=0.028）。此外,血红蛋白水平的下降为0.89（SD0.92）和1.87（SD2.24）单位，分别,差异有统计学意义(p=0.003)。开腹手术组的手术时间明显缩短（p=0.001）。腹腔镜组未观察到腹压,而12%的剖腹手术组报告投诉(p=0.013)。根据这项研究获得的结果，可以得出结论，这两种方法在改善子宫厚度和相关并发症方面没有差异。然而,在接受腹腔镜检查的患者中,血红蛋白水平下降和住院时间缩短.
