剖宫产术时子宫肌瘤剔除临床分析

Clinical study of hysteromyomectomy in cesarean section

目的探讨妊娠合并子宫肌瘤在剖宫产术时行肌瘤剔除术的可行性、安全性。方法采用回顾性分析的方法对2008年1月至2011年6月46例妊娠并发子宫肌瘤患者施行剖宫产术时肌瘤剔除术,分析患者术前、术中及术后情况。结果术中平均出血量(250±30)ml,≥500ml者2例;术后病理诊断均为子宫平滑肌瘤;子宫复旧不全1例,产后出血1例,无产后并发症。结论剖宫产术同时行子宫肌瘤剔除是安全可行的,并可减少患者再次手术的痛苦及风险。

Objective To investigate the feasibility and security of hysteromyomectomy in cesarean section on pregnancy with uterine fibroids.Methods Analyzed 46 cases of pregnancy with uterine fibroids patients who are implemented hysteromyomectomy in cesarean section using retrospective analysis on 2008 January to 2011 June,analyzing the patients＇ conditions during preoperation,operation and postoperation periods.Results The average amount of bleeding was（250±30）ml,of which 2 cases Nas ≥500ml;The postoperative pathological diagnosis of all the cases are leiomyoma of the uterus;1 case Nas subinvolution of uterus,1 case Nas postpartum haemorrhage and no postpartum complications occur.Conclusions To perform cesarean section while simultaneously hysteromyomectomy is security and feasible,and can reduce the patients＇ pain and risk of reoperation.