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剖宫产术中子宫肌瘤的处理 被引量:6

Management of uterine myoma during cesarean delivery
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摘要 目的探讨妊娠合并子宫肌瘤在剖宫产分娩时行子宫肌瘤剜除术的价值。方法回顾性分析368例妊娠合并子宫肌瘤行剖宫产分娩者的临床资料。结果子宫肌瘤剜除术组(111例)的出血发生率为12.6%,对照组(257例)为12.8%,差异无显著性(P=0.95)。两组手术时间、术后发热及术后住院时间的差异亦无显著性(P>0.05)。结论在剖宫产分娩时选择适当患者行子宫肌瘤剜除术并未增加产时出血和术后病率的风险。 Objective To appraise the value of myomectomy during cesarean delivery. Methods A total of 368 pregnancy complicated with uterine myoma were reviewed for the management during cesarean delivery and the obstetrical outcomes. Results The incidence of hemorrhage in the study group was 12.6% as compared with 12.8%in the control group (P=0.95). There was no statistically significant increase in the incidence of operation duration, postpartum fever and length of postpartal stay. Conclusion In selected patients, myomectomy during cesarean delivery does not result in increasing risk of intrapartal or postpartal mobidity.
出处 《上海医学》 CAS CSCD 北大核心 2006年第8期572-574,共3页 Shanghai Medical Journal
关键词 妊娠 子宫肌瘤 剖宫产 Pregnancy Uterine myoma Cesarean delivery
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参考文献3

  • 1Jabiry-Zieniewicz Z, Gajewska M. The pregnancy and delivery course with pregnant women with uterine myomas. Ginekoi Poi, 2002, 73:271-275.
  • 2乔福元.妊娠期子宫肌瘤的处理[J].中国实用妇科与产科杂志,2001,17(3):179-180. 被引量:177
  • 3Phelan JP. Myomas and pregnancy. Obstet Gynecoi Clin North Am, 1995, 22:801 805.

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