剖宫产同时行子宫肌瘤切除术50例临床分析

Clinical analysis on 50 cases of cesarean section combined with myomectomy

目的探讨剖宫产同时行子宫肌瘤切除术的安全性及可行性。方法回顾性分析50例剖宫产同时行子宫肌瘤切除术患者(观察组)和50例妊娠未合并子宫肌瘤仅行剖宫产手术患者(对照组)的临床资料。结果观察组患者手术时间长于对照组,出血量高于对照组,差异有统计学意义(P<0.05)。两组患者术后均无病率发生,术后第1天13时测量体温,差异无统计学意义(P>0.05)。两组患者切口均良好愈合,平均住院时间均为5.8天。结论妊娠合并子宫肌瘤在剖宫产的同时行肌瘤剔除术,具有一定的安全性和可行性。

Objective To explore the safety and feasibility of cesarean section combined with myomectomy.Methods To analyze retrospectively the clinical data of 50 cases of cesarean section combined with myomectomy and 50 cases of pregnancy without myomectomy but with cesarean section.The former was regareded as observation group,and the latter as control group.Results The operation time of observation group was longer than that of control group.the amount of bleeding was higher than that of control group,the difference was statistically significant（P0.05）.there was no morbidity after operation of two groups,the body temperature of the two groups was measured on the first day after operation.the difference was not statistically significant（P0.05）.Incision of the two groups healed well,the average hospitalization time of both groups was 5.8 days.Conclusions To give pregnant patients cesarean operation with myomectomy is safe and feasible.