摘要
目的探讨剖宫产术联合子宫肌瘤剔除术的临床可行性和安全性。方法对113例住院分娩的妊娠合并子宫肌瘤产妇在剖宫产同时行子宫肌瘤剔除术,并与同期113例妊娠未合并子宫肌瘤单行剖宫产术病例进行对比,观察两组患者的手术时间、术中出血量、术后产褥病率及术后住院天数等。结果剖宫产术联合子宫肌瘤剔除术比单行剖宫产术的手术时间差异有统计学意义(P<0.05),而两组产妇术中出血量、术后产褥病率及术后住院天数的差异无统计学意义(P>0.05)。结论在恰当的病例选择前提下,剖宫产术联合子宫肌瘤剔除术是安全和可行的,未明显增加手术风险,并减少了患者日后的病痛和经济负担,值得临床推广应用。
Objective To explore the safety and feasibility of pregnant women with uterine myoma during cesareansection uterine myomectomy at the same time. Methods From January 2006 to December 2010, the clinical data of 113 cases of hospital deliveries pregnant women with cesarean section and uterine myomeetomy at same time were compared with the data of 113 cases of cesarean section alone in pregnant women with uterine fibroids. Comparatively analysis was done in these two groups＇ patients with operation time, blood loss, postoperative puerperal morbidity, and the postoper- ative hospital stay, etc. Results The difference of operation time between uterine fibroids at same time cesarean section uterine myomectomy and uterine fibroids in pregnant cesarean section alone is significant （P〈0. 05）. As for the intraoperative blood loss, postoperative puerperal morbidity and the postoperative hospital stay, the difference between these two groups is not significant （P〈0. 05）. Conclusion On the premise of appropriate case selection, uterine fibroids at same time cesarean section uterine myomectomy is safe and feasible, not increases the risk significantly, and reduce patients＇ suffering and economic burden in the future, it is worthy of clinical application.
出处
《西部医学》
2013年第5期699-700,共2页
Medical Journal of West China
关键词
子宫肌瘤
剖宫产
剔除术
临床观察
Uterine fibroids
Cesarean seetion
Excision
Clinical observation
