Laparoscopic myomectomy versus hysteroscopic electrotomy of myoma for hysteromyoma complicated with infertility

  Objective  To compare the efficiency between laparoscopic myomectomy and hysteroscopic electrotomy of myoma in treatment of hysteromyoma complicated with infertility.

  Methods  Eighty-eight hysteromyoma patients with infertility were selected and divided into control group (treated by laparoscopic myomectomy) and study group (treated by hysteroscopic electrotomy of myoma), with 44 cases in each group. The therapeutic effect was compared between two groups.

  Results  The operation time, anal exhaust time and intra-operative bleeding volume of the study group were significantly better than those of the control group (P < 0.05). At 6 months after operation, luteinizing hormone (LH), follicle stimulating hormone (FSH) and estradiol (E₂) in both groups recovered to the preoperative level, and there was no significant difference (P>0.05). After 12 months of follow-up, there were no significant differences in the recurrence rate and pregnancy rate between two groups (P>0.05). The time to first pregnancy after operation in the study group was significantly shorter than that in the control group (P < 0.05).

  Conclusion  In the treatment of hysteromyoma complicated with infertility, both laparoscopic myomectomy and hysteroscopic electrotomy of myoma have less impact on ovarian reserve function, which can improve pregnancy rate and control recurrence. Compared with laparoscopic myomectomy, hysteroscopic electrotomy of myoma can better control surgical trauma, reduce intra-operative bleeding and shorten the time to first pregnancy after operation.