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目的:探讨妊娠合并子宫肌瘤在剖宫产术中同时行肌瘤剔除术的可行性及安全性。方法:回顾性分析2005年1月～2009年12月本院收治的90例妊娠合并子宫肌瘤在剖宫产同时行肌瘤剔除术的患者及同期180例妊娠未合并子宫肌瘤单纯剖宫产术的患者的临床资料。结果:剖宫产同时行肌瘤剔除术组手术操作时间较对照组延长,P<0.05,但两组平均术中出血量、产后24 h出血量、术后病率、术后血红蛋白下降值及术后住院天数差异无统计学意义(P>0.05)。结论:对于有经验的产科医生,根据患者具体情况,在剖宫产同时行子宫肌瘤术是安全可行的。
Objective: To investigate the feasibility and safety of concurrent myomectomy in cesarean section during pregnancy with uterine fibroids. Methods: A retrospective analysis of 90 cases of pregnant women with uterine fibroids in our hospital from January 2005 to December 2009 retrospectively performed myomectomy at the same time and 180 cesarean sections Clinical data of patients undergoing surgery. Results: The operation time of cesarean section with myomectomy was longer than that of the control group (P <0.05), but the mean intraoperative blood loss, the amount of bleeding after 24 hours, the postoperative morbidity and the postoperative hemoglobin decrease There was no significant difference in postoperative hospital days (P> 0.05). Conclusion: For experienced obstetricians, according to the specific circumstances of patients, simultaneous cesarean section uterine fibroids surgery is safe and feasible.