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目的探讨分析对于妊娠合并子宫肌瘤孕妇在剖宫产手术中同时对子宫肌瘤进行剔除的临床安全性及临床疗效。方法 128例妊娠合并子宫肌瘤孕妇随机分为对照组和观察组,各64例。观察组孕妇在进行剖宫产手术的同时进行子宫肌瘤切除术,对照组孕妇给予实施剖宫产手术。对两组患者的手术时间、产后恶露排净时间、术中出血量、子宫复旧率及产褥病率进行记录比较。结果对照组手术时间为(64.22±10.82)min、术中出血量为(213.12±41.24)ml、产褥病率为1.56%(1/64);观察组手术时间为(66.89±10.61)min、术中出血量为(219.35±43.66)ml、产褥病率为1.56%(1/64),两组比较差异均无统计学意义(P>0.05)。观察组产后恶露排净时间(6.8±1.1)d和子宫复旧率60.94%(39/64)明显优于对照组(9.5±2.3)d和42.19%(27/64),差异均具有统计学意义(P<0.05)。结论在对妊娠合并子宫肌瘤孕妇进行剖宫产术的同时进行子宫肌瘤剔除术有较高的安全性和可行性,同时有利于缩短术后患者产后恶露的排除时间,并有利于患者子宫功能的复旧,能避免再次进行子宫肌瘤切除手术给患者带来身体痛苦和经济压力,提高了治疗效率和患者满意度,值得在临床上大力推广应用。
Objective To investigate the clinical safety and clinical efficacy of pregnant women with uterine fibroids during pregnancy in cesarean section while removing uterine fibroids. Methods 128 cases of pregnant women with uterine fibroids were randomly divided into control group and observation group, each of 64 cases. Observation group of pregnant women during cesarean section at the same time for myomectomy, pregnant women in the control group to give cesarean section. The operation time of the two groups of patients, postpartum lochia net discharge time, intraoperative blood loss, uterine involution rate and the rate of puerperal records were compared. Results The operation time of the control group was (64.22 ± 10.82) min, the intraoperative blood loss was (213.12 ± 41.24) ml and the rate of puerperal was 1.56% (1/64). The operation time in the observation group was (66.89 ± 10.61) min, The blood loss in operation was (219.35 ± 43.66) ml and the rate of puerperal was 1.56% (1/64). There was no significant difference between the two groups (P> 0.05). The postpartum lochia discharge time (6.8 ± 1.1) d and the rate of uterine involution in observation group were significantly better than those in control group (9.5 ± 2.3) d and 42.19% (27/64) respectively, the difference was statistically significant (P <0.05). Conclusion Pregnancy with uterine fibroids pregnant women with cesarean section at the same time for myomectomy has a higher safety and feasibility, while helping to reduce postoperative patients with postpartum lochia elimination time, and is conducive to the patient’s uterus Function of the old, to avoid the recurrence of myomectomy surgery to patients with physical pain and financial pressure to improve the treatment efficiency and patient satisfaction, it is worth to clinically promote.