摘要
【目的】探讨妊娠合并子宫肌瘤患者采取同期手术的临床效果及母婴情况。【方法】选取2020年1月至2022年6月西安安琪儿妇产医院收治的200例妊娠合并子宫肌瘤患者,按随机数字表法分为观察组(同期行剖宫产术和子宫肌瘤剔除术)和对照组(行单纯剖宫产术),每组100例。比较两组患者手术时间、术中出血量、肛门排气时间、住院时间、产后出血量、恶露干净时间、月经恢复时间、并发症(切口感染、便秘、产褥感染、疼痛、尿潴留)发生率、新生儿窒息率、新生儿身长、新生儿体重、阿普加(Apgar)评分。【结果】两组患者术中出血量、肛门排气时间、住院时间、产后出血量、恶露干净时间、月经恢复时间比较,差异无统计学意义(P>0.05),观察组患者手术时间长于对照组(P<0.05);两组患者术后切口感染、便秘、产褥感染、疼痛、尿潴留发生率比较,差异无统计学意义(P>0.05);两组新生儿窒息率、新生儿身长、新生儿体重、Apgar评分比较,差异无统计学意义(P>0.05)。【结论】妊娠合并子宫肌瘤患者同期行剖宫产术和子宫肌瘤剔除术除了会延长手术时间外,不会对手术效果、患者产后恢复、术后并发症、新生儿健康产生影响,较为安全可行。
【Objective】To explore the clinical effects and maternal and infant conditions of synchronous surgery for patients with pregnancy complicated with uterine fibroids.【Method】A total of 200 patients with pregnancy complicated with uterine fibroids admitted to Xi'an Angel Obstetrics and Gynecology Hospital from January 2020 to June 2022 were randomly divided into an observation group(undergoing cesarean section and uterine fibroidectomy simultaneously)and a control group(undergoing simple cesarean section),with 100 cases in each group.The operation time,intraoperative blood loss,anal exhaust time,hospital stay,postpartum blood loss,lochia clean time,menstrual recovery time,incidence of complications(incision infection,constipation,puerperal infection,pain,urinary retention),neonatal asphyxia rate,length of newborn,weight of newborn,Apgar score were compared between the two groups.【Result】There was no statistically significant difference(P>0.05)between the two groups in terms of intraoperative bleeding volume,anal exhaust time,hospital stay,postpartum bleeding volume,lochia cleaning time,and menstrual recovery time.The observation group had a longer surgical time than the control group(P<0.05);There was no significant difference in the incidence of incision infection,constipation,puerperal infection,pain,and urinary retention between the two groups(P>0.05);There was no statistically significant difference between the two groups in terms of neonatal asphyxia rate,neonatal length,neonatal weight,and Apgar score(P>0.05).【Conclusion】Simultaneous cesarean section and myomectomy for pregnant women with uterine fibroids will not only prolong the surgical time,but also have no impact on the surgical effect,postpartum recovery,postoperative complications,and newborn health.It is relatively safe and feasible.
作者
苏彦梓
李联
庞妮
SU Yan-zi;LI Lian;PANG Ni(Department of Obstetrics and Gynecology,Xi'an Angel Maternity Hospital,Xi'an Shaanxi 710077)
出处
《医学临床研究》
CAS
2023年第5期710-712,716,共4页
Journal of Clinical Research
关键词
妊娠
平滑肌瘤
治疗结果
剖宫产术
妊娠结局
Pregnancy
Leiomyoma
Treatment Outcome
Cesarean Section
Pregnancy Outcome
