妊娠合并子宫肌瘤的临床分析

目的 浅析对妊娠合并子宫肌瘤产妇同时行剖宫产及子宫肌瘤剔除术的治疗体会.方法 回顾性分析我院收治的妊娠合并有子宫肌瘤的53例产妇临床资料,总结其同时行剖宫产和子宫肌瘤剔除术的术中、术后情况.结果 53例产妇平均手术时间为（70±5）min 术中平均出血量为（230±50）ml 53例产妇无1例进行子宫切除,所有患者手术切口均一级愈合,未发生术后感染,且术后7～10天出院.结论 对于妊娠合并子宫肌瘤产妇且有剖宫产指征者,同时进行剖宫产、子宫肌瘤剔除手术是安全、可行、有效的.

A Clinical Analysis about Pregnancy Complicated with Uterine Myoma

Objective To analyze the treatment of the pregnant women complicated with uterine myoma with uterine-incision delivery, and couple with myomectomy. Methods The clinical data of 53 cases with pregnancy complicated with uterine myoma were analyzed retrospectively. Summarize the intraoperation and postoperation condition of the treatment of uterine-incision delivery couple with myomectomy. Results The average operation time of 53 patients with pregnancy complicated with uterine myoma was (70 ± 5) minutes; Median intraoperatie bleeding volume was (230 ± 50) ml. During the 53patients with pregnancy complicated with uterine myoma, there was no one need hysterectomy; The operative incisions of all patients were primarily healing; no one got postoperative infection, and all the patients left hospital after the operation 7～10 days. Conclusion For the pregnant women complicated with uterine myoma, if they have cesarean section indications, uterine-incision delivery simultaneously with myomectomy is a safe, feasible and effective treatment method.