剖宫产同时行子宫肌瘤剔除术76例临床分析

目的：探讨剖宫产同时行子宫肌瘤剔除术的安全性及可行性。方法：回顾性分析本院2009年1月～2011年1月76例剖宫产同时行子宫肌瘤剔除术患者（观察组）,与同期75例仅行剖宫产患者作对照（对照组）,记录两组手术时间、术中出血量、住院时间、术后病率等并比较。结果：观察组手术时间较对照组延长,差异具有统计学意义（P〈0.05）,而两组患者术中出血量、术后肛门排气时间、术后住院时间及术后病率比较,差异均无统计学意义（P〉0.05）。两组患者产后均恢复良好,观察组患者经检查未发现新的肌瘤。结论：剖宫产同时行子宫肌瘤剔除术是安全、可行的,有助于产后恢复,减轻了患者的痛苦和负担,可避免二次手术。

Clinical analysis of 76 cases of myomactomy performed during cesarean section

Objective：To explore the feasibility and safety myomactomy performed during cesarean section.Methods：Retrospective analyzed of 70 pregnant women received myomactomy during cesarean section from January 2009 to January 2011 in our hospital（observation group）,which were compared with 70 women with simple cesarean section（control group）.Operation time,blood loss,length of stay and morbidity were compared.Results：Operation time of observation group was longer than the control group,it had a statistically significant differece（P0.05）,but blood loss,postoperative intestinal peristalsis time,length of stay and morbidity were no significant difference（P0.05）.Conclusion：Myomactomy performed during cesarean section is safe and feasible,in favor of quick recovery,can relieve the patients＇ physical sickness and psychological distress,and avoids second operation.