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目的:分析在剖宫产术中行子宫肌瘤剔除术的安全性及临床意义。方法:回顾性分析近5年300例产妇在我科施行剖宫产术的病历资料。其中行剖宫产+子宫肌瘤切除术150例,作为肌瘤组;单纯行剖宫产术150例,作为单纯组。两组均于腰硬联合麻醉下施行相应手术,观察记录两组的手术持续时间、术中出血量、术后阴道流血量、新生儿1minApgar评分、住院天数及恶露干净天数等指标,并做统计学分析。结果:肌瘤组的手术持续时间显著长于单纯组(P<0.01),差异有统计学意义;两组的其余观察指标对比均无统计学差异(P>0.05)。结论:在剖宫产术中同时施行子宫肌瘤切除术具有安全可行性,避免了传统的二次手术。
Objective: To analyze the safety and clinical significance of myomectomy in cesarean section. Methods: A retrospective analysis of 300 cases of maternal recent 5 years in our hospital cesarean section of the medical records. Among them, 150 cases of cesarean plus myomectomy were performed as myoma group; 150 cases of simple cesarean section were performed as simple group. The two groups were operated under combined spinal and epidural anesthesia. The duration of operation, intraoperative blood loss, postoperative vaginal bleeding, neonatal 1minApgar score, hospitalization days and lochia clean days and other indicators were recorded and statistically Analysis. Results: The duration of operation in fibroid group was significantly longer than that in simple group (P <0.01), and the difference was statistically significant. There was no significant difference between the two groups (P> 0.05). Conclusion: It is safe and feasible to perform myomectomy simultaneously in cesarean section, avoiding the traditional second surgery.