不同大小子宫肌瘤在剖宫产术中切除的临床研究

Clinical studies of different sizes myomectomy during cesarean section

目的探讨在剖宫产术中切除不同大小的子宫肌瘤的安全性、可行性。方法选取2007年1月至2012年12月剖宫产术中行子宫肌瘤剔除术的患者为研究组,共64例(小肌瘤组34例,大肌瘤组30例);同期剖宫产无子宫肌瘤的患者为对照组,共60例。比较其手术时间、术中和术后24 h出血量、术后肛门排气时间、术后病率、住院时间、恶露干净时间。结果研究组手术时间较对照组长,差异有统计学意义(P<0.05),余比较均无统计学意义(P>0.05)。结论选择合适病例,剖宫产术中行肌瘤剔除术,是安全可行的,同时可免除二次手术的可能,减轻患者的经济负担。

Objective To discuss the safety and feasibility of resection in cesarean on different sizes of fibroids. Methods 64 cases with cesarean excision of uterine Leiomyoma （34 cases with small cesarean section, 30 cases with large cesarean section） were selected from January, 2007 to December, 2012 in the study. 60 cases with cesarean section without fibroids during the same period were selected as the control group. Their operating time, intra- operative and postoperative 24h bleeding, anal exsufflation time after surgery, postoperative morbidity, hospital stay and lochia clean time were compared. Results The surgery time was longer than that of the controls. There were significant difference between the 2 groups （P〈0.05）. There were not other significant difference between the 2 groups concerning the other related factors（P〉0.05）. Conclusion Selecting the right case, BOC fibroid excision cesarean was safe and feasible, and may dispense with the second operation and alleviate the financial burden on the patients.