妊娠合并子宫肌瘤剖宫产同时行肌瘤剔除术

Pregnancy and Myoma of Uterus Cesarean Myomectomy

目的探讨妊娠合并子宫肌瘤剖宫产同时行子宫肌瘤剔除术的临床疗效,进一步探究其安全性和可行性。方法选取2012年1月至2012年12月在我院行剖宫产术同时行子宫肌瘤剔除术患者48例,作为观察组,与同期进行的单纯行剖宫产术患者48例,作为对照组,观察两组的手术时间、术中出血量、肛门排气时间、恶露时间以及产后病率等情况。结果观察组的手术时间明显多于对照组,差异显著,具有统计学意义(P<0.05),而观察组的术中出血量、肛门排气时间、恶露时间以及产后病率等情况与对照组相比,无明显差异,不具有统计学意义(P>0.05)。结论妊娠合并子宫肌瘤剖宫产同时行肌瘤剔除术是一种安全可行的方法,避免了二次手术的风险,有利于术后的恢复,值得临床推广应用。

]Objective To explore the clinical efficacy of pregnancy and myoma of uterus cesarean section at the same time myomectomy, further to explore the safety and feasiblity. Methods from 2012 January to 2012 December in our hospital underwent cesarean section simultaneously myomectomy in 48 cases, as the observation group, with the same period of simple cesarean section in 48 cases, as control group, to observe the operation lime, two groups of bleeding, anal exhaust lime the time and the incidence of postpartum lochia, etc. Results The operation time of the observation group was higher than that in the control group, the difference was significant, with statistical significance（P〈0.05）, while the observation group, amount of bleeding, anal exhaust time, the lime and the incidence ofpostpartuml loehia situation compared with the conlrol group, no significant difference, do not have statistical significance（P〉0.05）. Conclusion Pregnancy and myoma of uterus cesarean myomectomy is a safe and feasible method to avoid the risk of operation, two, is conducive to postoperative recovery, is worthy of clinical application.