晚期妊娠合并巨大子宫肌瘤67例手术处理

目的探讨晚期妊娠合并巨大子宫肌瘤术中的处理方式。方法分析晚期妊娠合并巨大子宫肌瘤（A组）、晚期妊娠合并子宫肌瘤（B组）及单纯行剖宫产（C组）患者的临床资料,每组均为67例。对患者年龄、手术时间、术中失血量等指标进行比较。结果 A组的年龄、手术时间、术中失血量、低置胎盘、胎位异常、新生儿体重、抗生素使用时间与B、C组相比有统计学差异（P〈0.05）,但3组间术后住院时间、新生儿窒息率及产褥感染率无明显差异（P〉0.05）。结论剖宫产术中同时处理巨大子宫肌瘤是可行的,但必须根据受术者的个体情况加强围手术期的管理。

Surgical treatment of 67 cases of late pregancy complicated with gigantic uterine leiomyoma

Objective The treatment of late pregnancy complicated with gigantic uterine leiomyoma in cesarean section(CS) was investigated.Methods A retrospective case-control study was done to review the clinical data of pregnancy with gigantic uterine leiomyoma(A group),late preganacy with leiomyoma(B group),late pregnancy without leiomyoma(C group).The age,operation time and blood loss were compared.Results The age,operation time,blood loss,low-lying placenta,abnormal fetal position,neonata weight,the time to use th...