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目的:探讨剖宫产术中行肌瘤剔除术的可行性及意义。方法:将妊娠合并子宫肌瘤72例在剖宫产时行肌瘤剔除术产妇与同期100例单纯剖宫产的产妇作对照。结果:手术时间、产褥病率、术后住院天数两组比较无显著差异(P>0.05),术中出血肌瘤剔除组多于单纯剖宫产组,术中无1例因出血过多而需行子宫切除者。术后近期复查子宫肌瘤未见明显复发征。结论:剖宫产术中发现子宫肌瘤者,在条件许可的情况下行子宫肌瘤剔除术,切实可行。
Objective: To investigate the feasibility and significance of myomectomy in cesarean section. Methods: 72 pregnant women with uterine fibroids in cesarean section when myomectomy maternal women with 100 cases of simple caesarean section at the same period as a control. Results: There was no significant difference in operation time, puerperal morbidity and postoperative hospital stay between the two groups (P> 0.05). The intraoperative myogenic myomectomy group was more than the simple cesarean section group. No intraoperative bleeding was found in 1 case The need for hysterectomy. No significant recurrence of uterine fibroids after recent review signs. Conclusion: Cesarean section found in patients with uterine fibroids, under the conditions permit line myomectomy, feasible.