摘要
目的探讨妊娠合并子宫肌瘤患者在剖宫产中行子宫肌瘤剔除术的可行性、必要性及安全性。方法回顾性分析宫产术中行子宫肌瘤剔除术78例患者及同期剖宫产术中发现子宫肌瘤而未行剔除术96例患者的临床资料,观察比较两组手术时间,出血量、住院天数和产褥病率。结果两组术中出血量、产褥病率、产后出血率、住院天数比较差异均无统计学意义(P>0.05)。两组术中手术时间比较差异有统计学意义(P<0.05)。结论妊娠合并子宫肌瘤在选择合适病例的前提下,剖宫产同时行肌瘤剔除术是安全可行的。产科医生应该根据患者具体情况选择剖宫术同时行子宫肌瘤剔除术。
Objective To explore the feasibility of myomectomy during cesarean section in pregnancy complicated with hysteromyoma.Methods 78 pregnancies complicated with hysteromyoma were selected as observation group.96 pregnancies receiving cesarean section were selected as control group.The average blood loss,incidences of postpartum infection,postpartum hemorrhage and hosp italization time were compared.Results There was no difference in the average blood loss,incidences of postpartum infection and postpartum hemorrhage,hospitalization time between two groups（P0.05）,but there was significant difference average operation time between two groups（P0.05）.Conclusion Myomectomy during cesarean section is safe and feasible in the premise of appropriate cases and proper surgical approach.The obstetrician should according to patients with specific situations choose profile palace art also do myomectomy.
出处
《西部医学》
2011年第5期872-873,875,共3页
Medical Journal of West China
关键词
妊娠
剖宫产
子宫肌瘤
Pregnancy
Hysteromyoma
Cesarean section
