剖宫产术中同时行子宫肌瘤剔除术110例临床分析

目的探讨剖宫产术中同时进行子宫肌瘤剔除术的可行性和安全性。方法选择我院行剖宫产手术的220例产妇作为研究对象,按照随机分组分为观察组和对照组,每组各110例,对照组仅行剖宫产,观察组在剖宫产术中同时进行子宫肌瘤剔除术,观察两组产妇术后指标。结果观察组手术时间长于对照组,术中缩宫素使用量多于对照组,组间对比差异有统计学意义(P<0.05)。两组在术中出血量、术后血红蛋白浓度、肛门排气时间、产褥病发生率、住院时间和恶露干净时间比较差异无统计学意义(P>0.05)。结论应根据子宫肌瘤类型选择合适的剔除方案,在剖宫产手术中同时进行子宫肌瘤剔除术是安全可行的,值得在临床上推广使用。

Cesarean myomectomy:a retrospective analysis of 1 10 cases

Objective To assess the feasibility and safety of uterine myomectomy during cesarean section. Methods A total of 220 patients underwent cesarean section were enrolled in this study,the objects were randomly allocated to an observation group （n =1 10）and a control group （n =1 10）,1 10 cases in the control group received cesarean delivery alone,1 10 cases in observation group underwent cesarean myomectomy.The post-operative indexes of the two groups were observed. Results The operation duration of the observation group was longer than the control group,more intraoperative ocytocin usage than the control group,group-paired comparison showed statistically significant differences （P〈 0.05 ）.The comparison of intraoperative bleeding,postoperative hemoglobin concentration,anal exhaust time,puerperal disease incidence,hospital du-ration and duration of lochia between the two groups were performed,there were no statistically significant differences （P〉 0.05 ）. Conclusion An appropriate myomectomy should be chosen based on uterine fi-broids types,cesarean myomectomy is safe and feasible,so is worthy of popularizing in clinical use.