剖宫产同时行子宫肌瘤剔除术40例临床分析

Clinical analysis of Caesarean section Simultaneously with Myomectomy in 40 cases

目的：探讨妊娠合并子宫肌瘤剔除术的安全性及可行性。方法：选择剖宫产术同时行子宫肌瘤剔除术患者40例作为观察组，随机抽取同期单纯剖宫产产妇40例为对照组，观察两组手术时间、术中出血量、术后排气恢复时间、术后住院天数、产褥病率等情况。结果：观察组手术时间长于对照组（P〈0．05），观察组中术中出血量、术后排气恢复时间、术后住院天数、产褥病率与对照组的比较均无显著性差异（P〉0．05）。结论：根据患者具体情况，剖宫产同时行子宫肌瘤剔除术是安全可行的。

Objective： To investigate the safety and feasibility of pregnant women with uterine fibroids. Methods： Selecting cesarean section simultaneously with myomectomy in 40 cases as observation group, and randomly 40 cases of simple cesarean section dur- ing the same period as control group, that observed operation time, amount of bleeding, postoperative passage of gas by anus, hospi- talized time of post operation, puerperal morbidity and so on. Results： The operation time in observation group was longer than that of the control group （P〈0.05）, and the rest indexes between observation and control group showed no significant difference （P〉 0.05）. Conclusion： Based on the patient＇s specific circumstances, cesarean simultaneously with myomectomy is feasible and safe.