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目的探讨剖宫产术中行子宫肌瘤剔除术的临床效果。方法选择2009年1月-2012年1月因剖宫产术中行子宫肌瘤剔除术患者30例为观察组。孕妇平均年龄为(32±2)周岁,均为第一次剖宫产术中发现子宫肌瘤,无一例合并其他疾病。选择单纯剖宫产术30例为对照组,对照组孕妇平均年龄(33±3)周岁,无其他合并疾病。观察两组患者手术时间,术中出血量,产后恶露时长,手术后感染,平均住院时间情况。结果手术时间分别为:对照组(30±6)min、观察组(55±7)min,两组比较,差异有统计学意义(P<0.05);术中出血量:对照组(260±30)mL、观察组(350±40)mL,差异有统计学意义(P<0.05)。两组术后感染均为0;产后恶露时间分别为对照组(29±3)d、观察组(28±2)d;产后平均住院天数对照组(5±2)d、观察组(6±2)d。两组比较,差异无统计学意义(P>0.05)。结论如剖宫产术中发现子宫浆膜下肌瘤,按其生长部位大小适合情况下,行子宫肌瘤剔除术是可行的,并可减少二次手术的创伤及痛苦,同时可减轻患者的二次住院经济负担。
Objective To investigate the clinical effect of myomectomy in cesarean section. Methods From January 2009 to January 2012, 30 patients underwent myomectomy in cesarean section were selected as the observation group. The average age of pregnant women (32 ± 2) years of age, are the first cesarean section found in uterine fibroids, no other cases combined with other diseases. Select simple cesarean section in 30 cases as control group, the average pregnant control group (33 ± 3) years of age, no other combined disease. The operation time, intraoperative blood loss, postpartum lochia duration, postoperative infection and average length of stay were observed. Results The operation time was (30 ± 6) min in the control group and (55 ± 7) min in the observation group, with significant difference between the two groups (P <0.05); the blood loss in the control group (260 ± 30 ) mL, the observation group (350 ± 40) mL, the difference was statistically significant (P <0.05). Postpartum locust exposure time was 29 ± 3 days in the control group, 28 ± 2 days in the observation group, 5 ± 2 days in the control group and 6 ± days in the observation group, 2) d. There was no significant difference between the two groups (P> 0.05). Conclusion If uterine fibroids are found during cesarean section, myomectomy is feasible according to the size of their growth site, and it can reduce the trauma and pain of secondary surgery and reduce the patients’ Second hospitalization economic burden.