摘要
目的分析剖宫产术同时行子宫肌瘤剔除术在妊娠合并子宫肌瘤的临床诊治中的可行性。方法回顾性选取2020年1月至2021年12月本院收治的妊娠合并子宫肌瘤患者100例,分为两组,各50例。统计分析两组手术情况、术后指标、心理状态、疼痛程度、血红蛋白水平、术后并发症发生情况、新生儿情况、满意度。结果两组患者的宫缩素用量、术中出血量、产后出血量之间的差异无统计学意义(P>0.05),观察组患者的手术时间长于对照组(P<0.05)。两组患者的术后排气时间、住院时间、恶露持续时间、月经恢复时间之间的差异无统计学意义(P>0.05)。观察组患者的焦虑评分、抑郁评分、疼痛评分均低于对照组(P<0.05),但两组患者的血红蛋白水平之间的差异无统计学意义(P>0.05)。两组患者的术后并发症发生率12.00%(6/50)、10.00%(5/50)之间的差异无统计学意义(χ^(2)=0.102,P>0.05)。两组新生儿的身长、体质量、5 min Apgar评分、低体质量、新生儿窒息发生率之间的差异无统计学意义(P>0.05)。观察组患者的满意度94.00%(47/50)高于对照组66.00%(33/50)(χ^(2)=12.250,P<0.05)。结论剖宫产术同时行子宫肌瘤剔除术在妊娠合并子宫肌瘤的临床诊治中的可行性较高。
Objective To analyze the feasibility of cesarean section and hysteromyomectomy in the clinical diagnosis and treatment of pregnancy complicated with hysteromyoma.Methods A total of 100 cases of pregnancy complicated with hysteromyoma in our hospital from January 2020 to December 2021 were retrospectively selected and divided into two groups,50 cases in each group.Statistically analyze the operation conditions,postoperative indicators,psychological status,pain degree,hemoglobin level,postoperative complications,newborn condition and satisfaction of the two groups.Results There was no significant difference between the two groups in the amount of oxytocin,intraoperative bleeding and postpartum bleeding(P>0.05).The operation time of the patients in the observation group was longer than that in the control group(P<0.05).There was no significant difference between the two groups in postoperative exhaust time,hospital stay,duration of lochia and menstrual recovery time(P>0.05).The anxiety score,depression score and pain score of patients in the observation group were lower than those in the control group(P<0.05),but there was no significant difference between the hemoglobin levels of patients in the two groups(P>0.05).There was no significant difference between 12.00%(6/50)and 10.00%(5/50)of postoperative complications in the two groups(χ^(2)=0.102,P>0.05)。There was no significant difference between the two groups in neonatal length,body mass,5 min Apgar score,low body mass and neonatal asphyxia incidence(P>0.05).The satisfaction of patients in the observation group was 94.00%(47/50)higher than that in the control group 66.00%(33/50)(χ^(2)=12.250,P<0.05).Conclusion Cesarean section with hysteromyomectomy is feasible in the clinical diagnosis and treatment of pregnancy with hysteromyoma.
作者
陈晶
CHEN Jing(Department of Obstetrics and Gynecology,Putian Hanjiang Hospital,Putian 351100,China)
出处
《中国医药指南》
2023年第25期49-52,共4页
Guide of China Medicine
