论文部分内容阅读
目的探讨剖宫产同时行子宫肌瘤切除术的可行性。方法回顾性分析324例具备剖宫产指征且合并子宫肌瘤的患者资料,随机分成两组,其中剖宫产同时行子宫肌瘤切除术162例,作为研究组;单纯行剖宫产,未行子宫肌瘤切除术162例为对照组,比较两组术中出血量及手术时间。结果研究组术中失血量(228±56)ml,平均手术时间(45.1±7.5)min;对照组术中失血量(209±75)ml,平均手术时间(40.6±5.2)min,两组比较差异均无统计学意义(P>0.05)。结论对具备剖宫产指征且合并子宫肌瘤的患者,若术者技术操作熟练,且在具备输血的条件下,剖宫产同时行子宫肌瘤切除术是安全可行的。
Objective To investigate the feasibility of concurrent cesarean section excision of cesarean section. Methods A retrospective analysis of 324 cases with cesarean indications and combined with uterine fibroids in patients with data were randomly divided into two groups, including cesarean section at the same time myomectomy 162 cases, as the study group; simple cesarean section, 162 cases without uterine fibroids resection for the control group, the amount of bleeding during the operation and the two groups were compared. Results The intraoperative blood loss (228 ± 56) ml, mean operative time (45.1 ± 7.5) min, blood loss in the control group (209 ± 75) ml, mean operative time (40.6 ± 5.2) min, There was no significant difference (P> 0.05). Conclusion For patients with cesarean indications and with uterine fibroids, if the surgeon skilled operation, and in the case of transfusion, cesarean section at the same time the myomectomy is safe and feasible.