剖宫产术中行子宫肌瘤剔除术330例临床分析

Cesarean section simultaneously Clinical summary of 330 cases of uterine fibroids

目的探讨剖宫产术中同时行子宫肌瘤剔除术的安全性及可行性。方法对2003年3月至2008年11月住院分娩的330例妊娠合并子宫肌瘤剖宫产术中同时行子宫肌瘤剔除术的病例资料进行回顾性分析，与同期112例妊娠合并子宫肌瘤单纯剖宫产术比较，比较分析两组患者手术时间、术中出血、产褥病率及术后恢复情况等。结果剖宫产术中同时行子宫肌瘤剔除术与单纯剖宫产术相比，剖宫产术中同时行肌瘤剔除术手术时间明显长于单纯刮宫产术（P〈0．05），两者术中出血量、产褥病率及术后恢复情况等的差异均无统计学意义（P〉0．05）。结论在病例选择合适的情况下，剖官产术中同时行子宫肌瘤剔除术是可行及安全的，有利于产后恢复，可有效避免二次手术或子宫切除术，值得临床推广。

Objective To explore the analysis of pregnant women with uterine myoma during cesarean section uterine myomectomy at the same time the safety and feasibility. Methods from March 2003 to November 2008 hospital deliveries of 330 pregnant women with uterine fibroids at the same time cesarean section uterine myomectomy cases were retrospectively analyzed, with the same period 112 cases of uterine fibroids in pregnancy simple cesarean section compared to a comparative analysis of two groups of patients with operative time, intraoperative bleeding, puerperal morbidity, and postoperative recovery and so on. Results The cesarean section at the same time line of myomectomy during cesarean section, compared with the simple, simultaneous cesarean section line myomectomy operative time was significantly longer than cesarean section alone （ P〈0.05 ）, 2 by blood loss, puerperal morbidity and postoperative recovery, etc.There was no statistically significant difference （ P〉 0.05 ）. Conclusion In patients choose the right circumstances, both cesarean section uterine myomectomy is feasible and safe, conducive to post-partum recovery, which can effectively avoid secondary surgery or hysterectomy, worthy to be popularized.