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目的探讨剖宫产术中子宫肌瘤不同剔除术的临床意义。方法回顾性分析1990—1996年剖宫产术同时行子宫肌瘤剔除术208例为对照组,1997—2005年剖宫产术中同时行子宫肌瘤剔除术302例为研究组,单纯剖宫产组180例。剖宫产术中子宫肌瘤剔除术的不同缝合方法的临床病历记录,包括术中出血量、手术时间、术前术后血红蛋白差值、住院天数、产后出血量及产褥感染发生率。结果连续扣锁缝合组手术时间短、术中出血少、住院时间短,明显优于间断-连续缝合组。结论剖宫产术中发现子宫肌瘤同时行剔除术是安全可行的。连续扣锁缝合组可缩短手术时间,具有术中出血少、产后出血量少、产褥感染少、住院日少的优点。
Objective To investigate the clinical significance of different cuff removal in cesarean section. Methods Retrospective analysis of 1990-1996 cesarean section at the same time myomectomy 208 cases as control group, 1997-2005 cesarean section at the same time myomectomy 302 cases of study group, simple cesarean section 180 cases of production group. Cesarean section in myomectomy of different suture methods of clinical medical records, including intraoperative blood loss, operation time, preoperative and postoperative hemoglobin difference, hospital stay, postpartum hemorrhage and the incidence of puerperal infection. Results Continuous buckling and suture group had shorter operative time, less intraoperative bleeding and shorter hospital stay, which was significantly better than intermittent-continuous suture group. Conclusion Cesarean section found that simultaneous removal of uterine fibroids is safe and feasible. Continuous buckling suture group can shorten the operation time, with less bleeding, less postpartum bleeding, less puerperal infection, hospitalization days less advantages.