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目的:探讨剖宫产术同时行子宫肌瘤剔除术的安全性、可行性。方法:选择我院的58例剖宫产术同时行子宫肌瘤剔除术的产妇为观察组,同期单纯剖宫产术的58例产妇为对照组,比较两组的术中及术后情况。结果:术中出血量,观察组多于对照组,两组比较差异有显著性(P<0.05),手术时间,术后2~24h出血量,产褥病率,手术前后Hb变化值,切口愈合,住院天数,两组比较差异无显著性(P>0.05)。结论:剖宫产术同时行子宫肌瘤剔除是安全可行的,关键是止血有效。
Objective: To investigate the safety and feasibility of cesarean section with myomectomy. Methods: Fifty-eight cases of cesarean section in our hospital who underwent myomectomy at the same time were selected as the observation group. 58 maternal women undergoing simple cesarean section in the same period were selected as the control group. The intraoperative and postoperative conditions were compared between the two groups. Results: The intraoperative blood loss was significantly higher in the observation group than in the control group (P <0.05). The operative time, the amount of bleeding after 2 to 24 h, the prevalence of puerperal, the change of Hb before and after operation, Healing, hospitalization days, no significant difference between the two groups (P> 0.05). Conclusions: It is safe and feasible that cesarean section can be removed simultaneously with uterine fibroids. The key is to stop the bleeding effectively.