Abstract: Objective To compare the effects of laparoscopic myomectomy, total hysterectomy, and subtotal hysterectomy on uterine fibroids.Methods Patients with uterine fibroids who underwent laparoscopic myomectomy (n=40, group A), who met the indications for total hysterectomy (n=40, group B), and who met the indications for subtotal hysterectomy (n=40, group C) were selected from The Second People’s Hospital of Huishan District from May 2015 to April 2017.After six months of surgery, the changes of ovarian function and sexual function were compared among the three groups.Results Before surgery, there was no statistical difference in ovarian function among the three groups (P>0.05); after six months of surgery, the ovarian function of group A had no significant changes compared with that before surgery (P>0.05); the ovarian functions of group B and group C were lower than before (P<0.05), and there was no statistical difference between group B and group C (P>0.05).Before surgery, there was no statistical difference in the score of sexual function among the three groups (P>0.05); after six months of surgery, the score of group A was higher than the scores of group B and group C (P<0.05), and there was no statistical difference between group B and group C (P>0.05).Conclusion Laparoscopic myomectomy for patients with uterine fibroids has no significant effect on ovarian function, and can improve sexual function of patients.Under the premise of clear surgical indications, it can be the first choice for the treatment of uterine fibroids.

Key words: Uterine fibroids, Laparoscopic myomectomy, Total hysterectomy, Subtotal hysterectomy, Clinical effect