妊娠合并子宫肌瘤患者分娩期剖宫产治疗效果观察

Observation on Therapeutic Effect of Cesarean Section During Delivery in Pregnant Patients with Hysteromyoma

目的:观察妊娠合并子宫肌瘤患者分娩期剖宫产治疗的效果。方法:2017年1月-2019年12月收治妊娠合并子宫肌瘤患者168例,随机分为两组,各84例。对照组患者仅给予剖宫产术完成分娩,择期行子宫肌瘤切除术治疗;观察组同期行剖宫产手术和子宫肌瘤切除术。比较两组患者临床疗效。结果:观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);观察组的术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组的恶露排出时间短于对照组,失血量少于对照组,并且观察组护理后患者的焦虑评分和抑郁评分均小于对照组,差异有统计学意义(P<0.05)。结论:将同期剖宫产和子宫肌瘤切除术用于到妊娠合并子宫肌瘤患者中,可进一步提高治疗效果,降低并发症发生率,值得临床推广使用。

Objective:To observe the effect of cesarean section treatment in pregnant patients with hysteromyoma during delivery.Methods:From January 2017 to December 2019,168 patients with pregnancy complicated with hysteromyoma were treated and randomly divided into two groups,with 84 cases in each group.The patients in the control group were given only cesarean section to complete the delivery,and the patients in the observation group were given cesarean section and hysteromyomectomy at the same time.The clinical efficacy of the two groups of patients was compared.Results:The total effective rate of treatment in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The time of lochia efflux in the observation group was shorter than that in the control group,the blood loss was less than that in the control group,and the anxiety and depression scores of the patients in the observation group after nursing were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Simultaneous cesarean section and hysteromyomectomy can be used in pregnant patients with hysteromyoma,which can further improve the treatment effect and reduce the incidence of complications,which is worthy of clinical promotion.