子宫肌瘤微创手术后再妊娠期间子宫破裂的诊疗分析

Analysis of diagnosis and treatment of uterine rupture during pregnancy after minimally invasive surgery on hysteromyoma

目的探讨子宫肌瘤微创手术后在妊娠期间子宫破裂的诊疗体会。方法选取80例子宫肌瘤微创手术后在妊娠期间发生子宫破裂的患者,并随机分为对照组和试验组,各40例。对照组采用常规方法急救,试验组在常规急救的基础上给予针对性急救。比较两组急救效果。结果试验组急救效果显著优于对照组,两组比较,差异有统计学意义(P<0.05);试验组急救满意率为95.0%(38/40),高于对照组的65.0%(26/40),两组比较,差异有统计学意义(P<0.05);两组患者治疗前症状积分比较,差异无统计学意义(P>0.05);试验组治疗后症状积分明显低于对照组,两组比较,差异有统计学意义(P<0.05);症状积分差值显著高于对照组(P<0.05)。结论子宫肌瘤微创手术后在妊娠期间子宫破裂患者应该做到早期诊断,并给予针对性的急救,以降低母婴死亡率。

Objective To explore the experience of diagnosis and treatment of uterine rupture during pregnancy after minimally invasive operation on hysteromyoma. MethodsA total of 80 cases with uterine rupture during pregnancy after minimally invasive surgery on hysteromyoma were divided into experimental group and control group,40 cases in each group. The control group were given general first aid treatment, the experimental group were given targeted first aid on the basis of conventional treatment. The first aid efficacy of the two groups was compared. ResultsThe effect of the experimental group was significantly better than that of the control group, the difference was statistically significant （P〈0.05）; Satisfaction rate of first aid in experimental group was 95.0%（38/40）, higher than 65.0%（26/40） of the control group, the difference was statistically significant （P〈0.05）; The symptom scores of the two groups were not significantly different before treatment（P〉0.05）;After treatment, the symptom scores of experimental group were significantly lower than that of control group, the difference of symptom score of experimental group was higher than that of control group, the differences were statistically significant（P〈0.05）. ConclusionEarly diagnosis and targeted first aid should be carried out in patients with uterine rupture during pregnancy after minimally invasive surgery on hysteromyoma, in order to reduce mortality of maternal and infants.