子宫肌瘤孕妇剖宫产同时行子宫肌瘤剔除术的临床疗效观察

Clinical observation and analysis of simultaneously conducting uterine fibroids pregnant women cesarean section with uterine myomectomy

目的观察子宫肌瘤孕妇剖宫产同时行子宫肌瘤剔除术的临床疗效。方法选取医院收治的合并子宫肌瘤孕妇患者78例,根据患者手术类型分为观察组(剖宫产合并子宫肌瘤剔除术,38例)和对照组(单纯行剖宫产术,40例),比较2组手术时间、术中出血量、住院时间及术后并发症发生率。结果观察组手术时间长于对照组(P<0.01);2组术中出血量、住院时间比较差异无统计学意义(P>0.05)。观察组术后产后出血、产褥病发生率均低于对照组(P<0.05或P<0.01);2组切口感染发生率比较差异无统计学意义(P>0.05)。结论合并子宫肌瘤孕妇剖宫产同时行子宫肌瘤剔除术虽手术时间延长,但可降低术后产后出血、产褥病发生率,具有显著疗效和较高治疗安全性。

Objective To observation and analysis of clinical effect of simultaneously conducting uterine fibroids pregnant women cesarean section with uterine myomectomy. Methods 78 cases of pregnant women with uterine fibroids were divided into observation group（ 38 cases） and control group（ 40 cases）. The operative time,intraoperative blood loss,hospitalization time and postoperative complications were compared between the two groups. Results The operation time of the observation group was longer than that of the control group（ P〈0. 01）. There was no significant difference in blood loss and hospitalization time between the two groups（ P〉0. 05）. The incidence of postpartum hemorrhage and puerperal disease in the observation group was lower than that in the control group（ P〈0. 05 or P〈0. 01）. There was no significant difference in the incidence of incision infection between the two groups（ P〉0. 05）. Conclusion Nonetheless there is a longer time of conducting uterine leiomyoma with cesarean section combined with uterine fibroids,the postoperative postpartum hemorrhage,puerperal disease incidence was reduced with significant efficacy and high treatment safety.