剖宫产同时行子宫肌瘤切除术安全性分析

Analysis of myomectomy during cesarean section

目的 评价剖宫产同时行子宫肌瘤切除术的可行性和安全性。方法分析2003年1月至2009年12月期间在广东省湛江市第二人民医院接受剖宫产同时行子宫肌瘤切除术的42例患者（研究组）和单纯行剖宫产术的80例产妇（对照组）的临床资料。比较2组的术中及术后情况。结果研究组手术时间为[（84．5±14．8）min]明显长于对照组[（63．0±10．7）min，P〈0．05]；2组间术中和术后24h的出血量[分别为（300±96）ml比（285±61）ml，（185±57）ml比（175±46）m1]、术后体温恢复时间[（29．8±13．2）h比（26．5±8．6）h]、产褥病发生率[2例（4．8％）比2例（2．5％）]及术后住院时间[（6．7±1．9）d比（6．1±1．8）d]差异均无统计学意义。结论在严格掌握手术适应证及充分准备的情况下，剖宫产同时行子宫肌瘤切除术是安全可行的。

Objective To evaluate the feasibility and safety of myomectomy during cesarean section. Methods The clinical data of d2 patients who underwent myomectomy during cesarean section （study group） and 80 matched pregnant women without uterine myoma who underwent cesarean section alone （control group） from Ja- nunary 2003 to December 2009 were reviewed. The data during and after surgery between two groups were compared. Results The average duration of operation was longer in the study group than that in the control group （P 〈 0.05）. However, there was no significant difference of blood loss during operation or within 24 hours after opera- tion, incidence of postoperative fever or complication and hospital stay between study group and control group. Conclusion Myomectomy during cesarean section is safe and feasible.