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目的探讨剖宫产同时行子宫肌瘤剔除术对产时和产后短期内并发症发生的影响。方法收集天津市大港医院2004年1月～2008年12月,妊娠合并子宫肌瘤孕妇病历资料共计358例,其中剖宫产同时行子宫肌瘤剔除术共111例,单纯行剖宫产257例,比较两组手术前后的血色素改变、手术时间、产后住院时间、产后发热率和出血率。结果肌瘤剔除组与单纯剖宫产组相比,在出血率、产后发热率、平均血色素改变、手术时间和产后住院时间方面均无显著性差异(P>0.05)。结论剖宫产同时行子宫肌瘤剔除术是安全可行的,需要恰当选择病例并由有经验的手术医生进行手术。
Objective To investigate the effect of concurrent cesarean section excision on the incidence of complications during delivery and postpartum. Methods A total of 358 pregnant women with uterine fibroids were collected from January 2004 to December 2008 in Dagang Hospital of Tianjin. A total of 111 cases of cesarean myomectomy at the same time were cesarean section, 257 cases of simple cesarean section The hemoglobin changes, operation time, postpartum hospitalization time, postpartum fever rate and bleeding rate were compared between the two groups before and after operation. Results There was no significant difference in hemorrhage rate, postpartum fever rate, mean hemoglobin change, operation time and postpartum hospital stay in myomectomy group compared with simple cesarean section group (P> 0.05). Conclusion Cesarean section at the same time the myomectomy is safe and feasible, need to select the appropriate cases and surgery by an experienced surgeon.