剖宫产术时行子宫肌瘤剔除术60例分析

A Retrospective Analysis of 60 Cases with Myomectomy during Cesarean Section

目的:探讨剖宫产同时行子宫肌瘤剔除术的安全性和可行性。方法:比较分析我院2008年1月至2010年12月60例剖宫产术中同时行子宫肌瘤(肌瘤直径<10 cm)剔除术患者(研究组)及120例单纯剖宫产患者(对照组)的临床资料。结果:研究组手术时间长于对照组(40±15分钟与25±10分钟),差异有统计学意义(P<0.05),但术中出血量、术后排气时间、产褥病率、手术前后Hb差值比较,差异无统计学意义(P>0.05)。结论:根据患者肌瘤大小情况,选择性地行剖宫产同时行子宫肌瘤切除术是安全可行的。

Objective： To evaluate the safety and feasibility of myomectomy during cesarean section. Methods ：60 patients underwent myornectomy during cesarean（study group） from January 2008 to Decem ber 2010 in our hospital were compared with the control group consisted of 120 patients without uterine myo ma who underwent cesarean section alone. Results：The average duration of operation was longer in the study group than that of the control group（ P 〈 0.05）, however,there was no statistical difference in the inci dence of blood loss during operation, postoperative bowel recovery time, puerperal morbidity, change in he moglobin from preoperative to postoperative period between study group and control group （ P 〉 0.05）. Con clusions：According to the size of myoma,myornectomy during cesarean section can be performed safely by experienced obstetricians.