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观察剖宫产术中同时行子宫肌瘤剔除的手术结局

Surgical outcome observation of cesarean section and at the same time lining myomectomy
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摘要 目的探讨剖宫产术中同时行子宫肌瘤剔除术的手术结局。方法本次研究选择的观察组对象共50例,均为本院2010年5月~2012年8月收治的剖宫产的同时行子宫肌瘤剔除术的患者,就其临床资料与同期收治的对照组单纯剖宫产术资料进行对比,回顾两组临床资料。结果观察组平均手术时间、术中出血量多于对照组,差异有统计学意义(P<0.05)。观察组术后2~24h平均出血量、肛门排气恢复时间、平均住院时间、术后病率、切口愈合(Ⅱ级/甲)情况与对照组比较差异无统计学意义(P>0.05)。术后行42d随访观察,两组子宫大小均呈正常恢复。结论剖宫产术中同时行子宫肌瘤剔除具有一定的安全性和可行性,避免了患者二次手术的痛苦,具有重要的应用价值。 Objective To investigate the surgical outcomes in cesarean section and hysteromyomectomy. Methods A total of 50 cases were selected in our hospital from May 2010 to August 2012, were given cesarean section also un- derwent myomectomy, patients who underwent cesarean section only at the same time were as control group, the clini- cal data of two groups were compared. Results In the observation group, the mean operation time, intraoperative blood loss were more than those of the control group, the difference was statistically significant (P 〈 0.05). The mean bleed- ing after 2-24 h operation time, anus exhaust recovery time, average hospitalization time, complications, incision heal- ing ( I1/a) of observation group had no significant difference compared with control group (P 〉 0.05). All patients were given postoperative 42 d follow-up, two groups showed normal uterine size. Conclusion Cesarean section at the same time with myomectomy is safe and feasible, avoide the two operation patients suffering, which has important applica- tion value.
作者 赵孟会
出处 《中国当代医药》 2013年第12期193-194,共2页 China Modern Medicine
关键词 剖宫产术 子宫肌瘤剔除 手术结局 临床分析 Cesarean section Myomectomy Surgical outcome Clinical analysis
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