剖宫产术中对合并子宫肌瘤处理的探讨

目的:评价剖宫产术中同时剔除子宫肌瘤的可行性和安全性.方法:收集1996年1月～2001年3月间8958例剖宫产术中的258例同时剔除子宫肌瘤的患者,选择其中资料完整的232例进行分析并随访.结果:该组患者剖宫产术中采用本科自行创建的简便方法,肿瘤全部顺利切除.平均手术时间45min(30～96min),皮肤为美容缝合法,术后平均住院5.76d(3～28d),平均出血量169.53ml(50～1000ml).术后均有病理报告证实.随访4.5年～9年,均无需再次手术.结论:剖宫产术中采用自行创建的简便方法、尽可能同时剔除子宫肌瘤,安全可行.

Treatment of myoma of uterus during cesarean section

Objective: To evaluate the feasibility and safety of myomectomy during cesarean section.Methods: The cases with cesarean section were recruited into the study between January 1996 and March 2001 in our hospital.A-mong them,258 cases had myomectomy.Two hundred and thirty-two cases were followed up and had ade-quate data for analysis.Results:The simple method of myomectomy that we established was applied for every case.All cases' myomas were removed successfully.The average operation time was 45 minutes(range 30-96 minutes).All the cases' skins were sutured intracutaneously.The average duration of post-operative hospital stay was 5.76 days(range 3-28 days).The mean blood loss was 169.53 ml(range 50-1000ml).All cases' my-omas were confirmed by histology.The follow-up periods were 4.5 years to 9 years.No patients needed sec-ond operation because of myoma.Conclusion: The simple method of myomectomy that we established during cesarean section is feasible and safe.