剖宫产合并子宫肌瘤切除术40例临床分析

目的探讨剖宫产时行子宫肌瘤切除术的安全性及可行性。方法 40例妊娠合并子宫肌瘤患者(治疗组)行剖宫产合并子宫肌瘤切除术;对42例妊娠无子宫肌瘤患者(对照组)行剖宫产术。比较2组手术时间及术中出血情况。结果治疗组手术时间为(59.12±6.29)min长于对照组的(31.24±5.21)min,差异有统计学意义(P<0.05);2组术中出血量比较差异无统计学意义(P>0.05)。结论对于经验丰富的医师,恰当把握适应证,对于妊娠合并子宫肌瘤患者在剖宫产术时行子宫肌瘤切除术是安全可行的。

Clinical analysis of cesarean section with myomectomy:on 40 cases report

Objective To investigate the security and feasibility of caesarean with myomectomy. Methods 40 cases of patients in pregnancy with myoma of uterus（ therapeutic group） were given caesarean and myomectomy ;42 patients in preg- nancy（ control group） were only given the cesarean section. Comparied the operative time and blood loss of two groups. Results The operative time of therapeutic group was （59.12 ±6.29）rain longer than （31.24 ±5.21 ）rain of control group, the differ- ence was statistically significant （ P 〈 0.05 ） ; The blood loss of two groups were not statistically significant difference（ P 〉 0.05）. Condusion For the experienced physician,grasping the indication of myomectomy in cesarean section is feasible and safe.