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近年来剖宫产率不断上升,在经腹剖宫产时,常发现妊娠合并妇科肿块,需在术中同时予以处理。现对我院3年来剖宫产时发现妇科肿块的诊断、处理作一初步分析,以进一步引起同行的重视。一、临床资料我院1987年1月～1990年5月分娩总数16713例,经腹剖宫产5826例,有102例合并妇科肿块,占剖宫产人数的1.8％。其中31例术前诊断,术前诊断率30％。24例因妊娠合并妇科肿块行剖宫产,其余均因产科情况剖宫产。 (一) 疾病分类 99例手术切除后经病理检查明确诊断,妇科肿块的性质见附表。47例肌瘤中,官颈肌瘤1例,宫体肌瘤46例(单发性40例,多发性6例;浆膜下24例,壁间19例,粘膜下3例)。20例有变性。肌瘤直径1～10 cm不等,直径≥4 cm 27
Cesarean section rate in recent years, rising, abdominal cesarean section, often found in pregnancy with gynecological masses, need to be treated at the same time during surgery. Now in our hospital 3 years of cesarean section found that the diagnosis of gynecological tumors, treatment for a preliminary analysis to further arouse the attention of peers. First, the clinical data of our hospital from January 1987 to May 1990 a total of 16713 cases of childbirth, abdominal cesarean section 5826 cases, 102 cases with gynecological masses, accounting for 1.8% of the number of cesarean section. 31 cases of preoperative diagnosis, preoperative diagnosis rate of 30%. 24 cases of gynecological cesarean section due to pregnancy with cesarean section, the rest were cesarean section due to obstetric conditions. (A) classification of 99 cases of surgical resection after a clear diagnosis by pathological examination, the nature of gynecological masses, see Schedule. 47 cases of fibroids, 1 case of cervical myoma, uterine fibroids in 46 cases (40 cases of solitary, multiple in 6 cases; subserosal in 24 cases, 19 cases of wall, submucosal in 3 cases). 20 cases have degeneration. Myoma diameter ranging from 1 cm to 10 cm, diameter ≥ 4 cm 27