妊娠期子宫肌瘤剔除术的临床应用

The Chinical Application of Myonectomy in Pregnancy

目的 :探讨子宫肌瘤剔除术在妊娠期应用的价值及安全性。方法 :对 1995年 1月～ 1998年 12月我院实施的妊娠期子宫肌瘤剔除术 2 1例进行总结分析。结果 :妊娠 10～ 2 1周手术 3例 ,其中 1例宫颈巨大肌瘤同时行人工流产 ,2例术后均足月分娩 ,孕足月剖宫产同时剔除肌瘤 18例 ,均无不良反应。结论 :妊娠期子宫肌瘤剔除术是解决妊娠合并较大子宫肌瘤尤其是红色变性时的有效方法 ,只要时机选择恰当 ,手术方法和技巧正确 ,可避免严重并发症发生。

Objective To probe into the value and security of the application of myomectomy in pregnancy.Methods To analyze the 21 cases of myomectomy in pregnancy, which were performed in our hospital from 1,1,1995 to 12,31,1998.Results 3 cases were operated on after 10-21 weeks of pregnancy, among which one case had a large myoma in cervix and abortion was porformed; 2 cases had mature parturition after being operated; 18 cases had caesarean operation in mature pregnancy and myoma were removed at the same time. They all had not bad responses.Conclusion Myomectomy in pregnancy is an effective solution to pregnancy with larger myoma of uterus, especially those undergoing red degeneration, Serious complications may be avoided so long as timing is proper, operation method and skill are correct.