妊娠合并子宫肌瘤同期手术临床分析

Pregnancy with myoma surgery for the same period of

目的：探讨子宫肌瘤剔除术在妇科临床中的应用.方法：选择妊娠合并子宫肌瘤300例,随机分组,168例剔除子宫肌瘤组,132例未剔除子宫肌瘤组,对照组为同期正常剖宫产产妇100例,对三组剖宫产结果进行比较,观察子宫肌瘤剔除术在妇科临床的应用效果.结果：三组产妇在出血量、手术前后HB差值方面、伤口愈合时间均无显著性差异.剔除直径≤5cm 和直径〉5cm的肌瘤剔除术,术中出血量有显著性差异.结论：剖宫产同时子宫肌瘤剔除术值得采用,但如直径〉5cm,手术困难风险较大者剖宫产同时不宜剔除子宫肌瘤.

Objective：To investigate myomeetomy clinical application in gynecology. Methods： 300 cases of pregnant women with uterine fibroids, randomized, 168 cases of uterine fibroids removed group, 132 cases of uterine fibroids without removing the control group was normal for the same period 100 cases of cesarean section,cesarean section on the results of the three groups compare the observed myomectomy results in the application of clinical gynecology. Results： Three groups were in the amount of bleeding, HB difference before and after surgery,the wound healing time were not significantly different. 〉5cm in diameter and the diameter of removing〉 5cm of the myomectomy, blood loss, a significant difference. Conclusion：The cesarean section also myomectomy of good, but if the diameter〉 5cm,the greater the risk of cesarean Section surgical difficulties should not be removed while uterine fibroids.