肌瘤剔除术在妊娠合并子宫肌瘤患者剖宫产中的价值与安全性分析

Value and Safety of Myomectomy in Cesarean Section for Pregnant Women with Hysteromyoma

目的分析肌瘤剔除术在妊娠合并子宫肌瘤患者剖宫产中的价值与安全性。方法选取56例妊娠合并子宫肌瘤患者,回顾其临床资料,随机分为对照组、实验组,各28例。对照组患者行剖宫产术,之后再择期实施子宫肌瘤剔除术;实验组患者行剖宫产的同时实施肌瘤剔除术。对比手术时间、术中出血量、术后阴道出血量、肛门排气时间、恶露持续时间、子宫复旧时间、并发症发生率。结果实验组手术时间长于对照组(P<0.05);术中出血量、术后阴道出血量、肛门排气时间、恶露持续时间、子宫复旧时间两组比较差异无统计学意义(P>0.05);实验组并发症发生率低于对照组(P<0.05)。结论肌瘤剔除术应用于妊娠合并子宫肌瘤患者剖宫产中,应用效果显著,用并发症较少,安全性较高。

Objective To analyze the value and safety of myomectomy in cesarean section of pregnant women with uterine fibroids.Methods Fifty-six pregnant patients with uterine fibroids were selected and randomly divided into control group and experimental group,28 cases each.In the control group,cesarean section was performed,and hysteromyomectomy was performed later.Patients in the experimental group underwent cesarean section and myomectomy at the same time.The operative time,intraoperative blood loss,postoperative vaginal blood loss,anal exhaust time,lochia duration,uterine involution time and complication rate were compared.Results The operation time of the experimental group was longer than that of the control group(P<0.05).There were no significant differences in intraoperative blood loss,postoperative vaginal blood loss,anal exhaust time,lochia duration,and uterine retrogradation time between the two groups(P>0.05).The incidence of complications in the experimental group was lower than that in the control group(P<0.05).Conclusion Myomectomy in cesarean section of pregnant women with uterine fibroids has significant effect,less complications and higher safety.