论文部分内容阅读
目的探讨剖宫产术中同时行子宫肌瘤剥除术的疗效与安全性。方法回顾性选取2009年5月至2014年7月重庆市涪陵区石沱镇卫生院行剖宫产术中同时行子宫肌瘤剥除术的妊娠合并子宫肌瘤患者资料80例作为观察组,选择同期行剖宫产术的产妇80例作为对照组。对照组仅实施剖宫产术,观察组在剖宫产术中同时行子宫肌瘤剥除术。比较两组患者的术中及术后情况。结果观察组患者手术时间较对照组长,差异有统计学意义(P<0.05);两组患者术中出血量、缩宫素用量及产后出血量比较,差异均无统计学意义(均P>0.05)。观察组患者术后肛门排气时间为(16.2±1.2)d、术后血红蛋白为(112±12)g/L、住院时间为(5.2±2.3)d,对照组分别为(16.0±1.3)d、(112±12)g/L、(5.3±2.2)d,两组比较差异均无统计学意义(均P>0.05)。两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。结论剖宫产术中同时行子宫肌瘤剥除术疗效满意,安全可行,可有效避免患者二次手术的痛苦。
Objective To investigate the efficacy and safety of simultaneous uterine fibroids dissection in cesarean section. Methods From May 2009 to July 2014, 80 patients with pregnancy complicated with uterine fibroids who underwent cesarean section in Shi Tuo Tuen Hospital, Fuling District, Chongqing Municipality from May to July 2014 were retrospectively selected as the observation group. Select the same period of cesarean section maternal 80 cases as a control group. Control group, only the implementation of cesarean section, observation group in cesarean section at the same time uterine fibroids stripping. The two groups of patients during and after surgery were compared. Results The operation time of the observation group was longer than that of the control group (P <0.05). There was no significant difference in the intraoperative blood loss, oxytocin dosage and the amount of postpartum hemorrhage between the two groups (all P> 0.05). The time of postoperative anal exhaust in the observation group was (16.2 ± 1.2) days, the postoperative hemoglobin was (112 ± 12) g / L, the hospitalization time was (5.2 ± 2.3) days and the control group was (16.0 ± 1.3) days , (112 ± 12) g / L and (5.3 ± 2.2) d respectively. There was no significant difference between the two groups (all P> 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). Conclusion Cesarean section in the simultaneous removal of uterine fibroids with satisfactory results, safe and feasible, which can effectively avoid the pain of patients with secondary surgery.