剖宫产同时行子宫肌瘤切除术118例回顾性分析

Retrospective Analysis of 118 Cases of Cesarean Section and Carried Out Uterine Myomectomy Simultaneously

目的:探讨子宫下段剖宫产术同时行子宫肌瘤切除术的可行性。方法:对2010年6月-2013年6月本院妊娠并发子宫肌瘤患者118例施行子宫下段剖宫产术同时行肌瘤切除术(肌瘤切除组),与同期行单纯子宫下段剖宫产术的产妇124例(对照组)进行比较。比较两组的手术时间、手术前后血红蛋白差值、产后出血、输血及产褥感染的发生率。结果:两组手术时间比较差异有统计学意义(P<0.05);两组血红蛋白差值、产后出血、输血率及产褥感染率比较差异无统计学意义(P>0.05)。结论:在严格掌握适应证及术前准备的情况下,剖宫产同时行子宫肌瘤切除术是完全可行的。

Objective：To investigate the feasibility of cesarean section and carry out uterine myomectomy simultaneously.Method：118 patients with myoma of uterus pregnancy underwent cesarean section and uterine myomectomy at the same time in our hospital from July 2010 to July 2013,and comparision with 124 cases of underwent cesarean section. The operation time,difference of hemoglobin,postpartum hemorrhage,incidence of transfusion and puerperal infection of two groups were compared before and after the operation.Result：There were significant differences between the two groups in operation time（P〈0.05）,and there were no significant difference in the difference of hemoglobin,postpartum hemorrhage,blood transfusion rate and puerperal infection of two groups（P〉0.05）.Conclusion：In the strict control adaptation to disease and preoperative case,cesarean section at the same time uterine myomectomy is feasible.