摘要
目的探讨分析剖宫产术中行子宫肌瘤剔除术在妇科临床中的应用效果。方法选择2015年10月至2016年11月我院收治的120例妊娠合并子宫肌瘤患者为研究对象,随机分为对照组和观察组各60例。对照组患者行剖宫产术,观察组患者在行剖宫产术的同时行子宫肌瘤剔除术,比较两组患者的一般临床指标,包括手术时间、产后出血量、术中出血量、肛门排气时间、住院时间;比较两组患者并发症发生率。结果观察组患者手术时间(52.8±11.3)min,显著长于对照组患者手术时间(40.2±12.4)min,差异有统计学意义(t=5.818,P<0.001)。两组患者产后出血量、术中出血量、肛门排气时间、住院时间和并发症发生率比较,差异无统计学意义(P>0.05)。结论在行剖宫产术的同时,行子宫肌瘤剔除术治疗妊娠合并子宫肌瘤,并不会降低手术安全性,整体应用效果明显,不会出现不良反应。
Objective To investigate the application effect of uterine myomectomy during cesarean section in gynecological clinic.Methods 120 cases of pregnancy complicated by uterine fibroids hospitalized in our hospital during October 2015 and November 2016 were randomly divided into control group（n = 60） and observation group（n = 60）. Patients in the control group underwent cesarean section,while the patients in the observation group underwent cesarean section and uterine myomectomy at the same time. The general clinical indexes of the two groups were compared,including the operation time,the amount of postpartum hemorrhage,the amount of bleeding during operation,the time of anal exhaust and the length of hospital stay. The complication rates of the two groups were compared.Results The operation time of observation group（52. 8 ± 11. 3 min） was significantly higher than the control group（40. 2 ± 12. 4 min）,difference between groups was statistically significant（t = 5.818,P〈0.001）. The postpartum hemorrhage,bleeding volume,anal exhaust time,complication rate between the two groups showed no significant difference（P〉 0. 05）, without statistical significance.Conclusions The clinical use of myomectomy during cesarean section will not reduce the safety of the operation,on the opposite the overall effect is obvious,without adverse reactions,worthy of clinical application.
出处
《齐齐哈尔医学院学报》
2017年第11期1299-1300,共2页
Journal of Qiqihar Medical University
关键词
剖宫产术
子宫肌瘤剔除术
Cesarean section
Myomectomy
Application effect
