论文部分内容阅读
目的观察子宫肌瘤体剔除术在妊娠合并子宫肌瘤患者中的应用效果。方法将医院收治的140例妊娠合并子宫肌瘤患者随机分为试验组和对照组,每组70例。对照组进行单纯剖宫产手术,试验组在剖宫产分娩的同时行子宫肌瘤剔除术,比较2组患者术中及术后24h出血情况、伤口愈合时间及伤口愈合情况。结果试验组术中及术后24h出血量与对照组比较,差异无统计学意义(P>0.05);试验组伤口愈合时间与对照组比较,差异有统计学意义(P<0.01);试验组伤口愈合良好情况与对照组比较,差异无统计学意义(P>0.05)。结论子宫肌瘤体剔除术在妇科临床的应用效果较为明显,具有临床治疗借鉴性;但需要注意的是当子宫肌瘤体直径≥5cm时应不考虑同时手术,在剖宫产术后再行肌瘤剔除术为较佳手术方案。
Objective To observe the effect of hysterectomy in patients with uterine fibroids during pregnancy. Methods 140 cases of pregnancy with uterine fibroids in hospital were randomly divided into experimental group and control group, 70 cases in each group. The control group was treated with cesarean section only. The test group was performed myomectomy at the time of cesarean delivery. The intraoperative and postoperative 24h hemorrhage, wound healing time and wound healing were compared between the two groups. Results There was no significant difference in bleeding volume between the experimental group and the control group at 24 h after operation (P> 0.05). The wound healing time in the experimental group was significantly higher than that in the control group (P <0.01) Wound healing and control group, the difference was not statistically significant (P> 0.05). Conclusion uterine fibroids body removal in the clinical application of gynecology is more obvious, with clinical treatment of reference; but need to be noted that when the uterine fibroids body diameter ≥ 5cm should not consider simultaneous surgery in the cesarean section after Myomectomy for the best surgical options.