剖宫产术中同时行子宫肌瘤切除术的可行性分析

Analysis of the Feasibility of Simultaneous Resection of Uterine Fibroids in Cesarean Section

目的研究分析剖宫产术中同时行子宫肌瘤切除术的可行性。方法整群选取2013年7月—2015年7月该院收治的妊娠合并子宫肌瘤患者86例,随机分为两组,各43例。对照组单纯给予剖宫产术,观察组剖宫术中同时行子宫肌瘤切除术,对比两组手术时间、术中出血量、恶露干净时间、住院时间以及术后并发症发生率。结果观察组手术时间为(60.3±20.5)min,长于对照组的(37.1±20.2)min,差异有统计学意义(P<0.05);观察组术中出血量为(269.6±55.3)m L、术后排气时间为(2.4±1.3)d、恶露干净时间为(9.5±1.4)d、住院时间为(6.7±1.5)d,与对照组相比差异无统计学意义(P>0.05);观察组术后并发症发生率为2.33%(1/43),与对照组的4.65%(2/43)相比,差异无统计学意义(P>0.05)。结论对于妊娠合并子宫肌瘤患者剖宫产术中同时行子宫肌瘤切除术较为可行,其不影响患者产后恢复,也未增加术后并发症,可有效避免二次手术,减轻患者痛苦,值得推广。

Objective To study the feasibility of simultaneous resection of uterine fibroids in cesarean section. Methods 86 cases with pregnancy and uterine fibroids admitted in our hospital from July 2013 to July 2015 were selected and randomly divided into two groups, the control group and the observation group with 43 cases in each. Patients in the control group were treated by cesarean section only, while those in the observation group were treated by cesarean section and resection of uterine fibroids. The duration of procedure, intraoperative blood loss, lochia clean time, length of stay, and incidence of postoperative complications of the two groups were compared. Results The duration of procedure was much longer in the observation group than that in the control group [（60.3±20.5） min vs （37.1±20.2） mini（P〈0.05）. The intraoperative blood loss, postoperative exhaust time, lochia clean time, length of stay was respectively （269.6±55.3） mL, （2.4±1.3） d, （9.5±1.4） d, （6.7±1.5） d in the observation group, compared with that in the control group, respectively, the differences in the above in- dexes were not statistically significant（P〉0.05）. The incidence of postoperative complications was 2.33%（1/43）, 4.65%（2/43） in the observation group and the control group, with no statistically significant difference between the two groups（P〉0.05）. Conclusion The implementation of concurrent resection of uterine fibroids during cesarean section is feasible in pregnant women with uterine fibroids, which can prevent the secondary surgery and relieve the suffering without affecting the postpartum recovery and increasing the postoperative complications, therefore it is worth promoting.