ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ U XƠ CƠ TỬ CUNG BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN ĐA KHOA TỈNH BÌNH DƯƠNG

Abstract

Background: Total laparoscopic hysterectomy has demonstrated its efficacy in the definitive treatment of uterine fibroids with a low risk of complications. However, in Vietnam, data from studies remain inconsistent. Objective: To evaluate ultrasound characteristics and treatment outcomes of uterine fibroids managed by laparoscopic surgery. Materials and methods: An uncontrolled interventional study was conducted on 64 patients diagnosed with uterine fibroids who underwent laparoscopic surgery at Binh Duong Provincial General Hospital. Results: The mean age of the patients was 42.83 ± 7.94 years, with the majority (40–50 years) accounting for the highest proportion. Ultrasound findings showed that the most common presentation was a single uterine fibroid (59.4%), followed by two fibroids (29.7%) and three or more fibroids (10.9%). In terms of fibroid morphology, approximately half were solitary, one-third were diffuse, and the remainder exhibited mixed patterns. Additionally, most fibroid nodules (79.7%) were located at L3-L5. Regarding surgical outcomes, the majority of procedures lasted ≥120 minutes (79.7%), and most patients required hospitalization for five days or more, with 31.3% staying between 5–7 days and 54.7% staying over seven days. The average time to resume sexual activity was 37.53 ± 13.76 days. Overall, the success rate was 85.9%, with complications including hemorrhage (7.8%), infection (4.7%), bowel obstruction (1.6%), and rectovaginal fistula (1.6%). Conclusion: Laparoscopic surgery for uterine fibroids initially demonstrated favorable outcomes with a low risk of complications.