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目的:研究剖宫产同时行子宫肌瘤切除术的安全性和疗效。方法:选择164例子宫肌瘤产妇作为研究对象,其中96例产妇选择剖宫产同时行子宫切除手术,将其视为观察组,78例产妇选择单纯行剖宫产手术,术后择期进行子宫肌瘤切除,将其视为对照组,探讨两种方案的临床效果。结果:两组手术均获得成功,观察组手术后切除112个肿瘤,平均直径为(5.8±2.4)cm,对照组术后切除96个肿瘤,平均直径(6.1±2.6)cm;观察组的手术时间为(61.8±12.6)min,对照组手术时间为(50.6±11.4)min,两组比较,差异有统计学意义(P<0.05);观察组的术中出血量、住院时间及术后排气时间3项指标同对照组比较差异无统计学意义(P>0.05);观察组产妇产褥病率为6.25%,新生儿阿氏评分为(8.3±1.4)分,同对照组比较差异无统计学意义(P>0.05);随访调查显示两组的恶露持续时间差异无统计学意义(P>0.05)。结论:剖宫产同时行子宫肌瘤切除术能够有效的切除子宫肌瘤,避免了二次手术损伤,安全可行,值得临床推广应用。
Objective: To study the safety and efficacy of cesarean section undergoing myomectomy. Methods: 164 cases of uterine fibroids maternal as the research object, of which 96 cases of maternal women choose cesarean section at the same time underwent hysterectomy, which is regarded as the observation group, 78 cases of maternal women choose simple cesarean section operation, elective uterus Myomectomy, treat it as a control group, to explore the clinical effect of the two programs. Results: All the surgeries were successful in the two groups. Surgical resection of 112 tumors in the observation group with an average diameter of (5.8 ± 2.4) cm and 96 tumors in the control group with an average diameter of (6.1 ± 2.6) cm were observed. In the observation group, (61.8 ± 12.6) min for the control group and (50.6 ± 11.4) min for the control group, with significant difference between the two groups (P <0.05). The intraoperative blood loss, length of hospital stay, There was no significant difference between the three indexes of gas time and the control group (P> 0.05). The rate of puerperal obstruction was 6.25% in the observation group and (8.3 ± 1.4) in the newborn, which was significantly lower than that in the control group No statistical significance (P> 0.05); follow-up survey showed no significant difference between the two groups of lochia duration (P> 0.05). Conclusion: Cesarean section at the same time the myomectomy can effectively remove uterine fibroids, to avoid secondary surgery injury, safe and feasible, worthy of clinical application.