妊娠合并子宫肌瘤在剖宫产术中的处理临床分析

Clinical Analysis of Treatment of Pregnancy Complicated with Hysteroma during Caesarin Section

目的探讨剖宫产术中对妊娠合并子宫肌瘤的合理处理问题以及肌瘤对产程的影响。方法对56例妊娠合并子宫肌瘤病例进行回顾性分析。结果妊娠合并子宫肌瘤孕期发现率低,剖宫产术中发现率较高。56例患者,40例行剖宫产术,其中29例同时行肌瘤剔除术,11例行单纯剖宫产术。两组患者的平均手术时间和术中出血量相比差异均无统计学意义(P>0.05)。16例阴道分娩第二产程时间较正常阴道分娩(对照组)为长,差异有显著性(P<0.05)。结论妊娠合并子宫肌瘤并发症多,第二产程时间长,剖宫产率高。剖宫产术中应尽量剔除肌瘤,避免患者受再次手术之苦。

Objective To explore the rational treatment of pregnancy complicated with hysteroma during Caescrin section and influence of hysteroma on labore process. Methods To conduct retrospective analysis on 56 cases. Results The finding rate of the disease is low during pregnency, the finding rate is high during Caesarin section amoug 56 cases. 40 case were done Casearin section, among which 29 cases were done hysteroma elimination simultaneously, 11 case were done simple Caesarin section. There＇ s no significant difference between the two group＇ s mean operation time and bleeding amount （ P 〈 0.05 ）. 16 cases vagina labor the second process time is longer than that of the normal control, the difference is significant （P 〈 0. 05 ）. Conclusion The pregnancy complicated with hysteroma has many complications, the second labore process is long, Caesarin rate is high.