剖宫产术中子宫肌瘤剥除术81例分析

Analysis of 81 cases of cesarean section combined with myomectomy

目的探讨剖宫产同时行子宫肌瘤剥出术的安全性和可行性。方法回顾性分析81例剖宫产同时行子宫肌瘤剥除术患者(研究组)的临床资料,观察其手术时间、术中出血量、产后出血量、术后病率、住院时间等情况,并与同期81例行单纯剖宫产的患者(对照组)进行对比分析。结果研究组手术操作时间较对照组延长,差异有统计学意义(P<0.05),但两组的术中出血量、产后出血量、术后病率、术后住院天数比较,差异均无统计学意义(P>0.05)。结论根据患者的具体情况,选择性地行剖宫产同时子宫肌瘤剥除术是安全可行的;但肌瘤直径≥8cm或子宫肌瘤数目超过5个时,要做好充分的术前准备,以保证手术的安全。

Objective To evaluate the safety and efficacy of myomectomy during cesarean section.Methods Clinical data of 81 pregnant women underwent myomectomy during cesarean section were analyzed retrospectively.Operative time,intraoperative blood loss,postpartum blood loss,postoperative morbidity and length of stay in study group were compared with those in control group （81% patients with pure cesarean section）.Results Operative time in study group is longer than that in control group.Difference was statistically significant （P 〈 0.05） between the two groups.There was no significant difference （P 〉 0.05） in intraoperative blood loss,postpartum blood loss,postoperative morbidity and length of stay between study group and control group.Conclusions Selective myomectomy during cesarean section is a safe procedure.When diameter of myoma is over 8cm or the number of myoma is more than 5,we should make full preoperative preparation to ensure safety.