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Objective: To compare the clinic value between the transcervical resection of myoma (TCRM) and laparoscopic myomectomy (LM), and investigate the favourable surgical approaches in women with intramural uterine myomas. Methods: From January 1, 2007 to December 31, 2011, 236 women undergoing TCRM (hysteroscopy group) and 392 women undergoing LM (laparoscope group) were studied retrospectively in The Third Affiliated Hospital of Zhengzhou University. The patients' general information, peri -operative characteristics, postoperative muscle healing, and pregnancy outcome were compared and analyzed. Results: The average operation time, the average intraoperative blood loss and the reduce perioperative hemoglobin level of hysteroscopic group and laparoscopic group were compared respectively, the difference had statistical significance (P <0.05). The transfer laparotomy operation rate, postoperative fever rate and menstrual period rate of hysteroscopic group and laparoscopic group were compared. There was no significant difference (P>0.05). In the follow-up of 181 cases of hysteroscopy group and 336 cases of laparoscopic group of patients, the muscular complete healing rate of postoperative 1 month, 3 months, 6 months were respectively comparison, the difference had statistical significance (P<0.05). The muscular complete healing rate of postoperative 12 months was no statistically significant difference (P=0.709). The postoperative pregnancy from fibroids weed out of time for the first time of hysteroscopic group and laparoscopic group was statistically significant difference (P<0.05). All patients with postoperative pregnancy appeared no pregnant uterine rupture. Conclusions: For intramural myoma, two kinds of operation modes are safe and reliable. The intraoperative bleeding and postoperative recovery by TCRM is better than the patientes treated by LM, so hysteroscopy surgery is superior to the laparoscopic surgery for the patients with intramural uterine myoma. [ABSTRACT FROM AUTHOR]

Background: Mycena (Pers.) Roussel (1806) is a large genus of Mycenaceae known for having small to medium-sized basidiomata. It is typified by the species Mycenagalericulata (Scop.) Gray. For years, many mycologists have made important contributions to understanding Mycena and several monographs have been published. Three specimens were collected from China that belonged to the genus Mycena . On the basis of morphological analysis and phylogenetic analyses employing DNA sequences, a new species is described., New Information: Mycenabrunnescens sp. nov. is described as a new species from subtropical areas of China. It is characterised by its brown pileus, whitish lamellae that turns brown when bruised, orange to brown lamellae edges, the absence of pleurocystidia and cheilocystidia with simple or branched excrescences at the apex containing yellowish-brown contents. We performed phylogenetic analyses on a concatenated dataset comprising the internal transcribed spacer and large subunit regions of nuclear ribosomal RNA using Bayesian Inference and Maximum Likelihood methods. The result showed that the new taxon clustered in an independent group and is closely related to M.albiceps and M.flosoides ., (Hong Zhang, Ying Xin Xiao, Zhu Ming Tan, Ai Rong Shen, Bao Ming Shen, Yun Tan, Sai Nan Li, Li Guo Feng, Zhu Xiang Liu, Li Na Liu.)