剖宫产同时行子宫肌瘤剜除术50例分析

A 50 Cases Study of Possibility in Cesarean-section with Myomectomy

目的:探讨剖宫产时行子宫肌瘤剜除术的可行性。方法:对2001年2月-2004年12月间50例妊娠合并较大子宫肌瘤(直径≥5 cm)患者在剖宫产同时剜除子宫肌瘤(手术组),并随机抽取同期妊娠不合并子宫肌瘤行选择性刮宫产50例患者作对照比较(对照组)。结果:手术组产时平均出血量比对照组仅多80 ml;而在出血≥500ml、新生儿情况、产后恢复等方面两组相比较无显著差异 (P>0．05)。结论:剖宫产时行子宫肌瘤剜除是可行的。

Objective： To detect the possibility in cesarean-section with myomectomy. Methods： We retrospectively indentified 50 pregnant women with uterine leiomyornas （diameter≥5cm） from Feb. 2001 to Dec2004, who took myomectomy in cesarean-section as study group. As a comparison, 50 cases based series of pregnant women , who took cesarean-section, without uterine leiomyomas were elected at ran- dom in corresponding period. Results： The average amount of postpartum hemorrhage in study group was only 80 ml more, and therewere no difference in the risk of postpartum hemorrhage, neonate situation , postpartum recovery. Conclusion：Myomectomy in cesarean-section does not appear to have further increasing risk between the two groups.