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目的探讨剖宫产术同时行子宫肌瘤剔除术对妊娠合并子宫肌瘤患者的安全性及可行性。方法 2010年7月~2012年12月我院产科共发现妊娠合并子宫肌瘤患者128例,妊娠合并肌瘤患者中经阴道分娩45例,剖宫产73例,其中行单纯剖宫产者33例为对照组,实施剖宫产同时行肌瘤剔除术者共40列入观察组。结果两组产妇的平均出血量、术后应用抗生素时间、住院时间经统计学比较无显著性差异(P>0.05),产褥期感染率两组患者差异也无显著性(P>0.05),但观察组的平均手术时间明显多于对照组(P<0.01)。结论对于妊娠合并子宫肌瘤患者,只要术前充分评估并做好术前准备,术中灵活处理,剖宫产术中行子宫肌瘤剔除术是安全的,也是切实可行的。
Objective To investigate the safety and feasibility of concurrent cesarean section excision for pregnant patients with uterine fibroids. Methods From July 2010 to December 2012, 128 cases of pregnant women with uterine fibroids were found in our hospital. 45 cases of vaginal delivery and 73 cases of cesarean delivery were included in the study. Among them, simple cesarean delivery Cases for the control group, the implementation of cesarean section at the same time myomectomy 40 were included in the observation group. Results There was no significant difference in average amount of bleeding, postoperative antibiotic application time and hospitalization time between the two groups (P> 0.05), but there was no significant difference between the two groups (P> 0.05) The average operation time of the group was significantly more than that of the control group (P <0.01). Conclusion For pregnant patients with uterine fibroids, as long as preoperative assessment and good preoperative preparation, intraoperative flexibility, cesarean section line myomectomy is safe, it is feasible.