妊娠合并子宫肌瘤在剖宫产术中处理的探讨

目的:探讨妊娠合并子宫肌瘤在剖宫产术中同时行肌瘤剔除术的可行性。方法:选取妊娠合并子宫肌瘤52例为观察组,同期因其它原因行单纯剖宫产60例为对照组进行回顾性分析。对两组平均术中出血量,产后感染率,产后出血率,住院天数与低体重儿进行比较。结果:平均术中出血量,产后感染率,产后出血率,住院天数两组比较无统计学意义(P<0.05),低体重儿两组比较差异有统计学意义(P>0.05)。结论:妊娠合并子宫肌瘤在选择合适的病例与正确的手术方式的前提下,剖宫产同时行肌瘤剔除术是安全可行的。

Exploration of pregnancy complicated with hysteromyoma during cesarean section

To explore the feasibility of myomectomy during cesarean section in pregnancy complicated with hysteromyo-ma. Methods: 52 pregnancies complicated with hysteromyoma were selected as observation group, 60 pregnancies receiving cesarean section were selected as control group. The average blood less, incidences of postpartum infection, postpartum hemorrhage and low birth weight in-fants, hospitalization time were compared. Results: There was no difference in the average blood loss, incidences of postpartum infection and postpartum hemorrhage, hospitalization time between two groups (P<0. 05), but there was significant difference in the incidence of low birth weight infants between two groups (P>0. 05) . Conclusion: Myomectomy during cesarean section is safe and feasible in the premise of appropriate cases and proper surgical approach.