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目的探讨晚期妊娠合并子宫肌瘤剖宫产术中对子宫肌瘤处理的合理方案。方法对2000年1月至2009年6月在郑州市妇幼保健院住院分娩的晚期妊娠合并子宫肌瘤412例的临床资料进行回顾性分析,将剖宫产术中同时剔除子宫肌瘤339例作为肌瘤剔除组,随机选取同期分娩的单纯剖宫产孕妇340例作为对照组。分析两组手术时间、术中及产后24h出血量、产褥感染、子宫复旧情况。结果两组手术时间、术中及产后24h出血量、产褥感染及子宫复旧比较,差异无统计学意义(P>0.05)。结论选择合适的病例,剖宫产术中行子宫肌瘤剔除术是安全可行的。
Objective To investigate the reasonable treatment of uterine fibroids during cesarean section in late pregnancy with uterine fibroids. Methods From January 2000 to June 2009 in Zhengzhou Maternal and Child Health Hospital hospitalized delivery of late pregnancy combined with uterine fibroids in 412 cases of clinical data were retrospectively analyzed in the cesarean section while removing 339 cases of uterine fibroids Myomectomy group, randomly selected 340 cases of simple delivery of cesarean section at the same period as a control group. Analysis of two groups of operation time, intraoperative and postpartum hemorrhage volume, puerperal infection, uterine involution. Results The operation time, intraoperative and postpartum 24h bleeding, puerperal infection and uterine involution were no significant difference (P> 0.05). Conclusion Select the appropriate cases, cesarean section line myomectomy is safe and feasible.