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目的:观察剖宫产同时行子宫肌瘤剔除术的临床分析。方法:分析自2010年1月—2013年2月在西宁市第二人民医院剖宫产分娩的同时行子宫肌瘤剔除术患者62例(研究组)及62例单纯剖宫产孕产妇(对照组)的临床资料。结果:剖宫产同时行子宫肌瘤剔除术研究组手术时间长于对照组(60±10)min与(50±10)min,差异有统计学意义(P<0.05),但术中出血量、术后排气时间、术后24小时出血量、体温、手术前后血红蛋白差值比较,差异无统计学意义(P>0.05)。结论:妊娠合并子宫肌瘤在正确术中处理的前提下,剖宫产同时行子宫肌瘤剔除术是安全可行的。
Objective: To observe the clinical analysis of cesarean section simultaneous myomectomy. Methods: From January 2010 to February 2013, 62 patients (study group) with myomectomy at the Second People’s Hospital of Xining City during the cesarean section and 62 simple cesarean section pregnant women (control group Group) of clinical data. Results: The operation time of cesarean section in myomectomy group was longer than that in control group (60 ± 10) min and (50 ± 10) min, the difference was statistically significant (P <0.05), but the intraoperative blood loss, Postoperative exhaust time, blood loss after 24 hours, body temperature, hemoglobin difference before and after surgery, the difference was not statistically significant (P> 0.05). Conclusion: Pregnancy with uterine fibroids under the premise of correct surgery, cesarean section at the same time the myomectomy is safe and feasible.