摘要
目的探讨对妊娠合并子宫肌瘤患者在剖宫产术中同时行肌瘤剔除术的可行性和安全性,并探讨缩宫素联合米索前列醇、葡萄糖酸钙及子宫下段环扎术在剖宫产术中同时行子宫肌瘤剔除术的作用。方法回顾性分析我院2007年1月—2011年4月对妊娠合并子宫肌瘤在剖宫产术中同时行肌瘤剔除术患者40例的临床资料,选择同期无任何并发症的正常剖宫产患者50例为对照组,统计两组在平均术后产褥病率、恶露、子宫复旧、远期随访等方面的差异。结果研究组与对照组平均术中输血率、术后24h出血量、恶露,手术前后HGB差值、子宫复旧情况比较均有显著性差异(P<0.05);但在产后发热率、手术时间和产后住院时间方面无显著性差异(P>0.05)。结论在病例选择合适、手术方法得当的情况下,产妇在剖宫产术中同时行子宫肌瘤剔除术是安全可行的,是一种安全的手术方法,值得临床推广。
Objective To explore for pregnancy complicated with uterine myoma patients in cesarean section at the same time myomeetomy during feasibility and safety, and to explore the uterine contraction and hormone combined with misoprostol, calcium gluconate and lower segment uterine cerclage, during cesarean section and uterine myomectomy when role. Methods A retrospective analysis of our hospital from 2007 January to 2011 April, 40 cases of pregnancy complicated with uterine myoma during cesarean section at the same time myomectomy in patients with clinical data, selected the same period without any complications to normal in patients with cesarean section in 50 cases as control group, statistics of the two groups in mean postop- erative morbidity, lochia, involution of uterus, long - term follow - up, no significant difference. Results Of myomectomy group and normal cesarean section group mean intraoperative blood transfusion rates, 24 hours after the hemorrhage, lochia, be- fore and after operation on uterine HGB difference, there were significant differences （ P 〈 0. 05） ; but in postpartum fever rate, operation time and postpartum hospitalization time there was no significant difference （P 〉 0. 05）. Conclusion In case selec- tion, operation method, suitable conditions, puerpera after cesarean section at the same time doing myomectomy is a safe and feasible, is a safe operation method, worthy of clinical application.
出处
《实用心脑肺血管病杂志》
2012年第4期614-615,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
