目的探讨足月妊娠剖宫产术时行子宫肌瘤剔除术的安全性及价值。方法常规行子宫下段横切口剖宫产术,待子宫切口缝合好后,行肌瘤剔除术,切开肌瘤包膜剔除肌瘤,再用可吸收线连续缝合切口并间断加固,查无渗血后,清腹,关腹。结果 50例足月妊娠合并子宫肌瘤的患者,在行剖宫产术时行子宫肌瘤剔除术,手术均成功,无一例因剔子宫肌瘤导致子宫收缩不良致术中大出血,而需行子宫切除的。结论掌握好剖宫产术行子宫肌瘤剔除术的指证,该手术是安全的。避免了患者再做第二次手术的痛苦,减少了医疗费用。有很好的社会价值及经济价值。 Objective To investigate the safety and value of myomectomy in cesarean section during term pregnancy. Methods Cesarean section was routinely performed in the lower uterine transverse incision. After the uterine incision sutured, myoma excision was performed. The fibroids were excised from the myometrial capsule, and the incision line was continuously sutured and absorbable. After the blood, abdomen, abdomen. Results 50 cases of full-term pregnancy with uterine fibroids in patients undergoing cesarean section underwent myomectomy, surgery were successful, no case due to tick uterine fibroids cause uterine contractions caused by intraoperative bleeding, and need to line Hysterectomy. Conclusion Good grasp of cesarean section line uterine myomectomy evidence, the surgery is safe. Avoid the pain of patients to do the second surgery, reducing medical costs. Have good social value and economic value.