子宫肌瘤剔除术在妊娠期及剖宫产术中的应用分析

Application Analysis of Myomectomy in Pregnancy and Cesarean Section

子宫肌瘤作为发病率最高的女性生殖系统良性肿瘤,对女性生育能力及妊娠结局有不同程度的影响。子宫肌瘤剔除术可以有效改善生育力,但肌瘤剔除是否可以改善妊娠结局尚无明确结论。目前子宫肌瘤剔除术在妊娠期间、剖宫产术中的应用尚存争议。严格掌握不同时期子宫肌瘤剔除术的应用指征至关重要。在严格筛选病例、满足手术指征的前提下,子宫肌瘤剔除术在妊娠期间及剖宫产术中应用是可行的,尽管该术式会在一定程度上增加产科并发症的发生。建议进行大型多中心随机对照试验来评估子宫肌瘤剔除术在妊娠期间及剖宫产术中应用的最佳操作指南。

Uterine fibroids,as the most common benign tumor in the female reproductive system,affect female fertility and pregnancy outcome to varying degrees.Uterine myomectomy can effectively improve fertility,but whether myomectomy can improve pregnancy outcome is still inconclusive.At present,there is still controversy about the application of uterine myomectomy during pregnancy and cesarean section.It is very important to strictly grasp the indications for the application of uterine myomectomy in different periods.Myomectomy is feasible in pregnancy and cesarean section on the premise of strict screening and meeting surgical indications,although it may increase the incidence of obstetric complications to a certain extent.A large multicenter randomized controlled trial is recommended to evaluate best practice guidelines for myomectomy during pregnancy and cesarean section.