剖宫产术中子宫肌瘤的处理及结局分析

Analysis of uterine leio myoma during cesarean section

目的:探讨剖宫产术中剔除子宫肌瘤的安全性。方法:对56例妊娠合并子宫肌瘤病例剖宫产子宫肌瘤剔除方法进行分析,正常剖宫产术做对照比较预后。结果:单纯子宫肌瘤剔除组(剔除I组)与对照组比较,术中出血量增加,手术时间延长,差异有统计学意义(P<0.01)。先结扎子宫动脉后剔除子宫肌瘤组(剔除Ⅱ组)与对照组比较,手术时间延长(t=3.71,P<0.01、),术中出血量无差异(t=1.49,P>0.05),三组产后出血发生率、产科子宫切除、术后病率、住院时间两两比较差异无统计学意义。结论:剖宫产术中剔除子宫肌瘤术中出血量增加,应加强对出血预测,必要时行子宫动脉结扎,减少术中出血量。

Objective： To explore the safety of uterine removed during cesarean section. Methods： Data of 56 cases of uterine leiomyoma in pregnancy treated by in cesarean section and outcome were reviewed, normal cesarean eases as control group. Results：In myomectomy group the blood loss during cesarean section, surgical time increased, compared with the control group were significantly different （ P 〈 0.01 ）. myomectomy group II the surgical time increased compared with the control group were significant ty different （t =3.71 ,P 〈0.01 ） ,the blood loss during cesarean section compared with the control group were not significant different （ t = 1.49, P 〉 0.05 ）. Three group postpartum hemor- rhage rate of hysterectomy,postoperative morbidity,length of stay is no difference. Conclusion：The bleeding were increased due to uterine myoma were removed during cesarean section, predicting the possibility of the hemorrhage increasing,if necessary, uterine artery ligation should be performed to reduce blood loss volume.