Evaluation of the preoperative myometrial free margin (MFM) of type Ⅱ submucosal fibroids by transvaginal ultrasonography

doi:10.3969/j.issn.1006-7795.2016.04.022

Abstract

Abstract: Objective To assess the preoperative myometrial free margin (MFM) of type Ⅱ submucousal fibroids by transvaginal ultrasonography (TVS) that will predict the surgical methods.Methods Charts from hysteroscopic 103 cases (TCRM, Observation group) and laparoscopic 87 cases total laparoscopic myomectomy (TLM), Control group myomectomies were performed between June 2010 and February 2015. We reviewed for preoperative TVS findings. Predictors included myoma number, diameter and the location of type Ⅱ submucosal fibroids at preoperative TVS. The surgical time, intraoperative bleeding, length of stay and hospital costs were recorded after surgery. Results There is no difference between the two groups in the myma number. The mean length of myometrial free margin was (5.88±1.60) mm, the length of the fibroids pseudocapsule to uterine mucosa was (2.78±2.16) mm, surgical time was (52.32±22.48) min, blood loss was (20.28±36.28) mL, the difference between the hemoglobin after and before surgery was (7.98±6.20) g/L, length of stay after surgery was (2.23±1.02) d and the hospital cost was (4 989.52±988.98) yuan in the group of hysteroscopic myomectomies. Meanwhile, in the group of laparoscopic myomectomies the mean length of myometrial free margin was (4.92±2.62) mm, the length of the uterine fibroids psuedocapsule to uterine mucosa was (9.450±6.284) mm, surgical time was (88.34±18.42) min, blood loss was (48.39±32.61) mL, The difference between the hemoglobin after and before surgery was (16.32±4.53) g/L, length of stay after surgery was (5.03±1.10) d and the hospital cost was (12 523.23±2871.08) yuan. Conclusion Hysteroscopic myomectomy of type Ⅱ submucous fibroids may be performed successfully and safely under the condition of MFM no more than 5 mm and the diameter of fibroid less than 65mm.

Key words: transvaginal ultrasonography (TVS), type Ⅱ submucousal fibroids, transcervical resection of myoma (TCRM), total laparoscopic myoma (TLM)

CLC Number:

R737.33

Li Jinghua, Huang Wenyan, Zhang Rui, Ma Xuelian, Shi Congning, Li Wenjun, Feng Limin. Evaluation of the preoperative myometrial free margin (MFM) of type Ⅱ submucosal fibroids by transvaginal ultrasonography[J]. Journal of Capital Medical University, 2016, 37(4): 523-528.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2016.04.022

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2016/V37/I4/523

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