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目的:探讨剖宫产同时行子宫肌瘤处理的方式。方法:回顾性分析355例妊娠合并子宫肌瘤的孕产妇临床资料,以剖宫产同时行肌瘤剔除术的260例为观察组,行单纯性剖宫产术56例为对照组,比较两组的围手术期资料。结果:两组术中、术后出血量比较差异无统计学意义,术后产褥病发病率两组比较差异无统计学意义。妊娠合并子宫肌瘤变性率明显升高。结论:剖宫产同时行子宫肌瘤剔除术是必要而且可行的,手术方式应适情况而定。
Objective: To explore cesarean section at the same time the way of treatment of uterine fibroids. Methods: A retrospective analysis of 355 cases of pregnant women with uterine fibroids maternal clinical data to cesarean section at the same time myomectomy 260 cases of observation group, simple cesarean section 56 cases as control group, compared with two Group of perioperative data. Results: There was no significant difference in postoperative bleeding between the two groups. There was no significant difference between the two groups in postoperative morbidity of puerperal. Pregnancy with uterine fibroids degeneration significantly increased. Conclusion: Cesarean section at the same time the myomectomy is necessary and feasible, the surgical approach should be appropriate.