剖宫产术中子宫肌瘤核除术208例临床分析

Clinical Analysis of 208 Cases of the Extirpation Operation on Uterus Myoma Core in Cesarean Section

目的:讨论剖宫产术中子宫肌瘤不同核除术的意义。方法:回顾性分析2002年1月至2006年12月间剖宫产术中同时行子宫肌瘤核除术100例为对照组,108例为观察组,通过对剖宫产中子宫肌瘤核除术的不同缝合方法的临床研究,观察术中出血量,手术时间,术前、术后血红蛋白差值,住院天数,产后出血量及产褥感染发生率。结果:连续-间断缝合组手术时间短、术中出血少、手术前后血红蛋差值低、住院时间短、产后出血量少、产褥感染发生率低,明显优于间断-连续缝合组。结论:剖宫产术中发现子宫肌瘤同时行核切除术是安全可行的,连续-间断缝合组可缩短手术时间,具有术中出血少、产后出血量少、产褥感染发生率低、住院日少的优点。

Objective：To discuss the significance of core extirpation of uterus myoma with different methods at caesarean section.Method：208 patients,from January 2002 to December 2006, were retrospectively analyzed,108 as observe group,and 100 as control group,their bleeding volume at surgery,time of surfery , haematoglobim Preoperative and postoperative,hospital day,bleeding volume after parturiton and puerperal infection incidence rate were compared.Result：The continuous-interrupte sutured group was outstrip interrupte-continuous suturred group in time of surfery,bleeding volume at surgery,hacmatoglobin Preoperative and postoperative,hospital day and bleeding volume after parturition.Conclusion：It＇s safe and feasible to extirpate the core of uterus myoma at caesarean section,continuous-interrupte suture can shorten time of surgery,decrease bleeding volume at surgery and after parturition,puerperal infaction incidence rate and hospital day.