妊娠晚期合并子宫肌瘤204例临床分析

目的探讨妊娠合并子宫肌瘤患者的最佳分娩方式.方法对2005年1月至2010年1月在云南省第二人民医院产科住院的204例妊娠合并子宫肌瘤的孕妇进行回顾性分析.其中将剖宫产中行肌瘤剔除术的分为Ⅰ组,未行肌瘤剔除术的分为Ⅱ组,同时取210例同期单纯行子宫下段剖宫产的为对照组.结果行剖宫产并行子宫肌瘤剔除术147例,阴道分娩26例,31例因各种原因术中未行子宫肌瘤剔除术.Ⅰ组、Ⅱ组和对照组在平均术中失血量、平均手术时间Ⅰ组与其他两组比较差异有统计学意义（P〈0.05）、术后产褥感染率及住院天数三组比较差异无统计学意义（P〉0.05）.结论妊娠合并子宫肌瘤在选择合适病例的前提下,在剖宫产同时行肌瘤剔除术是可行的.

Clinical Analysis of 204 Cases of Late Pregnancy Complicated with Uterine Myoma

Objective To study the best delivery way for women with pregnancy complicated with uterine myoma.Methods 204 cases of late pregnancy complicated with uterine myoma from January 2003 to January 2010 were retrospectively analyzed in our hospital.Cases of hysteromyomectomy during the cesarean section were selected in groupⅠ,cases of myoma without stripping operation were selected in groupⅡ,and 210 cases simply underwent cesarean section were selected in control group.Results There were 147 cases of hysteromyomectomy during the cesarean section,26 cases of vaginal delivery,31 cases of myoma without stripping operation due to all kinds of reasons.There were significant differences in the average blood loss and average operation hours between group Ⅰand the other groups（P0.05）,and no significant differences in rate of puerperal infection and postoperative inpatient period between three groups（P0.05）.Conclusion On condition that choosing appropriate cases of late pregnancy complicated with uterine myoma,myomectomy during cesarean section is feasible.