子宫下段剖宫产同时行子宫肌瘤剔除89例临床分析

目的探讨子宫下段剖宫产同时行子宫肌瘤剔除的可行性。方法回顾性分析89例子宫下段剖宫产同时行子宫肌瘤剔除术为观察组，选择同期单纯性子宫下段剖宫产术89例作为对照组。结果观察组手术时间长于对照组（P〈0．05），术中出血量的差异无统计学意义，术后24h阴道出血量少于对照组，术后病率及住院天数无明显差异。结论子宫下段剖宫产同时行子宫肌瘤剔除术可行，但要注意手术速度和技巧。

Myomectomy during cesarean section

Objective To evaluate the safety and effectiveness of myomectomy during cesarean section （CS）. Methods Using a retrospective case-control design; 89 patients who underwent myomectomy at time of cesarean section were compared with the control group consisted of 89 patients who underwent cesarean section alone. Results There was no significant difference in the incidence of postoperative fewer, frequency of blood transfusion and hospital stay between myomectomy and control group. The average blood loss during surgery was 159. 5 ± 121.3 ml for study group and 137. 5 ±86.7ml for control group （P 〉 0.05）. Conclusion Myomectomy during CS is a safe and an effective procedure. It can be performed without significant complications by experienced obstetricians.