摘要
目的 探讨妊娠合并子宫肌瘤患者剖宫产同时行肌瘤剔除术的治疗方法及临床效果.方法 回顾性分析2005年7月至2008年6月间我院剖宫产术中同时行子宫肌瘤剔除术的63例患者的临床资料,对术中及术后情况进行对比分析.结果 治疗组63例均治愈,手术时间、术中出血量比较治疗组均长于对照组,差异有统计学意义(P＜0.05);术后24 h出血量、产褥病率、恶露干净时间、术后住院时间及切口愈合组间比较差异无统计学意义(P＞0.05).治疗组在产后42 d、半年、1年随访,产后42 d子宫复旧良好,月经量、周期正常,B超随访未发现肌瘤复发.结论 选择性剖宫产同时行子宫肌瘤剔除术有必要且安全、可行,不增加手术难度和出血量以及术后并发症,利于术后恢复,降低了二次手术及子宫切除术的发生率,值得临床推广.
Objective To investigate the methods and clinical effects of myomectomy performed during cesarean section on pregnancy with uterine fibroids.Methods The intraoperative and postoperative clinical data of 63 patients underwent myomectomy during cesarean section from July 2005 to June 2008 were retrospectively analyzed. Results All of 63 patients in the treatment group were cured. The operative time, blood loss in treatment group were longer compared with the control group, the differences were statistically significant (P<0.05). There was no statistically significant difference on the volume of bleeding after 24 h, puerperal morbidity, lochia clean time, the hospital stay or wound healing between the two groups (P>0.05). Uterine involution was good, menstrual volume and menstrual cycle was normal 42 d post-partum. No recurrence of fibroids was found by B ultrasound after the birth 42 d, half a year, one year follow-up. Conclusions Selective cesarean section combined myomectomy is necessary, safe and feasible. Difficulty of operation, volume of bleeding and postoperative complications don't obviously increase. It is worthy to be popularized with the benefit of rapidly postoperative recovery, reducing incidence of second surgery and hysterectomy.
出处
《中国实用医刊》
2010年第16期30-31,共2页
Chinese Journal of Practical Medicine
关键词
妊娠
子宫肌瘤
割宫产术
肌瘤别除术
Pregnancy
Uterine fibroids
Cesarean section
Myomectomy
