妊娠合并子宫肌瘤行剖宫产术中肌瘤剔除的临床效果观察

目的：研究妊娠合并子宫肌瘤患者行剖宫产术中肌瘤剔除的临床效果。方法：选取2003年1月～2010年12月于本院进行治疗的219例妊娠合并子宫肌瘤患者为研究对象,上述患者均无妊娠合并症、内外科合并症及肌瘤剔除手术禁忌。将其随机分为治疗组（剖宫产术中肌瘤剔除组）109例和对照组（仅行子宫下段剖宫产术组）110例,后将两组患者平均出血量、术后平均住院时间及产褥病率、术后并发症发生率进行统计及比较。结果：治疗组患者平均出血量及产褥病率、术后并发症发生率明显低于对照组,P〈0.05,差异有统计学意义,而两组患者术后平均住院时间比较,P〉0.05,差异无统计学意义。结论：妊娠合并子宫肌瘤患者在剖宫产术中剔除肌瘤损伤相对较小,治疗效果好,值得在妊娠合并子宫肌瘤患者治疗中广泛应用。

Observation of outcomes after hysteromyoma ectomy in the pregnant palients during cesarean section

Objective： To study the outcomes after hysteromyoma ectomy in the pregnant patients during cesarean section. Methods： From January 2003 to December 2010, 219 patients with hysteromyoma underwent cesarean section. The patients were randomly divided into study group （n=109） and control group （n=110） based on receiving hysteromyoma ectomy or not. The average amount of haemorrhage, the day of hospital stay, rate of puerperal morbidity, the rate of postoperative complications of the groups were compared and analyzed. Results： The average amount of haemorrhage, rate of puerperal morbidity, the rate of postoperative complication of the study group were lower than those of the control group with significant difference （P0.05）. The average time of hospital stay of the study group was similar with that of the control group with no significant difference （P0.05）. Conclusion： Hysteromyoma ectomy during cesarean section can be less impairment to the pregnant patients. We suggest to perform the procedure in the patients.