剖宫产术中行子宫肌瘤剔除术160例临床分析

目的 探讨剖宫产同时行子宫肌瘤剔除术的可行性.方法 回顾性分析160例剖宫产术中同时行子宫肌瘤剔除术的产妇,与同期100例行单纯剖宫产术的产妇作为对照,比较两组的手术时间、出血量、住院天数.按肌瘤大小分为>8cm肌瘤组与≤8cm肌瘤组,对其术中出血量、手术时间及术后住院天数进行比较.结果 研究组手术操作时间较对照组延长,差异有统计学意义(P<0.05);但两组的术中出血量和术后住院天数比较,差异均无统计学意义(P>0.05).>8cm肌瘤组与≤8cm肌瘤组相比较,手术时间明显延长,术中出血量显著增多(P<0.05).结论 根据患者的具体情况,选择性地行剖宫产同时子宫肌瘤剥除术是安全可行的,对部位特殊的子宫肌瘤及大型子宫肌瘤的处理须谨慎.

Clinical analysis of 160 patients treated by myomectomy during cesarean section

Objective:To evaluate the efficacy of myomectomy during cesarean section.Methods: Control group(100 patients)underwent cesarean section,study group(160 pregnant women) underwent myomectomy during cesarean section.Operative time,intraoperative blood loss and postoperative inpatient period were analyzed retrospectively.According to the tumor size,patients were devided into 2 groups: leiomyoma bigger than 8cm group and the ≤8cm group.Results: The operative time of study group was significantly longer than that of control group(P<0.05).There was no significant difference between two groups in intraoperative blood loss and postoperative inpatient period(P>0.05).The group in which leiomyoma are bigger than 8cm needs significantly longer operative time and lost more blood than the other in which leiomyomas were ≤8cm.Conclusion: According to the specific conditions of the patient,selective myomectomy during cesarean section is safe,but when leiomyoma is bigger or locating at a special position,myomectomy during cesarean section should be cautious.