妊娠合并子宫肌瘤剖宫产指征探讨

Study on the Indication of Cesarean Section in Pregnancy Complicated with Uterine Myoma

目的:探讨剖宫产术中行子宫肌瘤剔除术对妊娠结局的影响。方法:选取2008年2月-2013年10月在笔者所在医院收治的120例妊娠并子宫肌瘤产妇作为研究对象,按照随机数字表法将其分为对照组和观察组,每组60例。对照组患者单纯实施剖宫产术,观察组在实施剖宫产术的基础上,同时实施子宫肌瘤剔除术,并对两组患者的手术情况、术后并发症及围生儿情况进行比较。结果:观察组患者的手术时间明显长于对照组,差异有统计学意义(P<0.05)。两组患者在术中出血量、术后肛门排气时间、产后24 h出血量、住院时间、术后并发症发生率及围生儿情况等方面比较差异均无统计学意义(P>0.05)。结论:对于妊娠合并子宫肌瘤的孕妇,同时行剖宫产术与子宫肌瘤剔除术并不会增加患者及新生儿损伤。

Objective：To investigate the effect of myomectomy on pregnancy outcome during cesarean section.Method：One hundred and twenty pregnant women with uterine myoma admitted to our hospital from February 2008 to October 2013 were selected as research objects,and they were divided into the control group and the observation group according to the random number table method,60 cases in each group.The control group was only treated with cesarean section.On the basis of the implementation of cesarean section,the observation group was treated with myomectomy at the same time.The operation conditions,postoperative complications and perinatal conditions were compared between the two groups.Result：The operative time of the observation group was significantly longer than the control group,the difference was statistically significant（P〈0.05）.There were no statistically significant differences in the amount of bleeding,postoperative anal exhaust time,postpartum 24 h bleeding,hospital stay,the incidence of postoperative complications and perinatal conditions between the two groups（P〈0.05）.Conclusion：For pregnant women with uterine myoma,while the cesarean section and myomectomy don＇t increase the injury of patients and neonates.