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目的 探讨在剖宫产术中对子宫肌瘤剔除术的可行性。方法 对行剔除术和非剔除术者的出血量、手术时间进行比较。结果 剔除组出血量150~850ml,平均300ml,非剔除组出血量100~500ml,平均210ml;肌瘤位于子宫下段者比位于体部者血量大;剔除组平均手术时间86 .7min;未剔除组平均手术时间为58 .6min;子宫肌瘤剔除组与无肌瘤手术对照组,术后子宫复旧、住院天数及产褥病率无明显差异。结论 剖宫产术时行子宫肌瘤剔除术是可行的,既解除了患者的病痛及心理压力,节省了医疗费用及住院时间,同时还避免或减少了二次手术的风险。
Objective To investigate the feasibility of myomectomy in cesarean section. Methods The amount of blood loss and operation time were compared between patients who underwent culling and non-culling. Results The volume of blood loss in the cull group was 150 ~ 850ml, with an average of 300ml. The blood loss in the non-cull group was 100 ~ 500ml, with an average of 210ml. The fibroids located in the lower uterine segment were larger than those in the body. The mean operative time in the cull group was 86.77 minutes. The mean operative time was 58.6 min. There was no significant difference in uterine myomectomy group and non-fibroid operation control group, postoperative uterine involution, hospitalization days and puerperal morbidity. Conclusion Cesarean myomectomy line myomectomy is feasible, both to relieve the patient’s pain and psychological stress, saving medical costs and hospitalization time, but also to avoid or reduce the risk of secondary surgery.