利用剖宫产时机同时切除子宫肌瘤的可行性分析

Evaluate the Safety and Feasibility of Cesarean Myomectomy

目的探讨利用剖宫产时机同时剔除子宫肌瘤的可行性。方法选择2010年1月至2015年12月在我科住院,合并有子宫肌瘤的足月妊娠孕妇67例作为观察组(拟剖宫产同时行子宫肌瘤切除术),选择同期妊娠无子宫肌瘤者100例作为对照组(拟单纯行剖宫产术),比较两组患者手术情况和术后恢复情况。结果观察组除手术操作时间比对照组长(P<0.05),两组患者术中出血量及术后恢复情况差异均无统计学意义(P>0.05)。结论个体化选择行剖宫产同时行子宫肌瘤切除术是可行的。

Objective To evaluate the safety and feasibility of cesarean myomectomy. Methods Choose between January 2010 and December 2015 hospitalized in our department,67 patients underwent cesarean myomectomy （ observation group） were compared-with the contol group consisted of 100 patients without uterine myoma who underwent cesaran section alone. Compare two groups of pa-tients with surgery and postoperative recovery. Results The average duration of operation was more than 19 mins longer in the study group compared with that of thecontrol,but the amount of blood loss or drop in average haemoglobin,and rehabilitation during postoper-ation weresimilar between them. Conclusion In selective patients,cesarean myomectomy is not a hazardous procedure andcan be per-formed safely by experienced obstetricians.