妊娠合并子宫肌瘤剖宫产术中处理方式的探讨

目的：探讨妊娠合并子宫肌瘤剖宫产术中的处理方式。方法选择2010年6月~2013年6月我院162例妊娠合并子宫肌瘤行剖宫产患者,其中123例行肌瘤剔除术为剔除组,39例未行肌瘤剔除术为未剔除组；选择正常剖宫产无其他并发症的产妇100例为对照组,比较三组手术时间、术中及术后出血量,剔除组与未剔除组的不良反应发生率、复发率,剔除组与对照组手术前后血红蛋白差值。结果三组在手术时间、术中及术后出血量方面差异无统计学意义（P〉0.05）；剔除组不良反应发生率、再次手术率与未剔除组相比差异具有统计意义（P〈0.05）；剔除组与对照组手术前后血红蛋白差值近似（P〉0.05）。结论妊娠合并子宫肌瘤患者在剖宫产的同时,有选择性进行肌瘤剔除手术安全可靠,不良反应发生率少,减少再次手术创伤。

Study of treatment of cesarean section on pregnancy associated with hysteromyoma

Objective To discuss the processing method of cesarean section in pregnant women with uterine fibroids. Methods A total of 162 cases of pregnant women with uterine fibroids cesarean section from June 2010 to June 2013 were selected in our hospital, 123 cases undergoing myomectomy were chosen as excluded group, 39 cases not undergoing myomectomy were chosen as no excluded group; 100 normal cesarean patients without other complications were chosen as control group, operative time, intraoperative and postoperative bleeding of the three groups were compared;The adverse reactions, recurrence rates of excluded group and no excluded group were analyzed;Hemoglobin difference of excluded group and control group before and after surgery were analyzed. Results The operative time, intraoperative and postoperative bleeding had no significant difference among three groups （P〉0.05）; The incidence of adverse reactions, reoperation rate had no significant difference between excluded group and no excluded group （P〈0.05）;The difference of hemoglobin approximation before and after surgery in excluded group and control group was not statistically significant （P〉0.05）. Conclusion In patients with uterine fibroids during pregnancy cesarean, myomectomy surgery is simultaneously safe and reliable and can reduce adverse reactions, recurrence rate and surgical trauma again, so it is worthy of popularization and application.