目的探讨妊娠合并子宫肌瘤在剖宫产同时行肌瘤挖除术减少出血量措施及其可行性。方法妊娠合并子宫肌瘤96例在剖宫产时同时行肌瘤挖除术与96例单纯剖宫产的产妇做对照。结果手术时间、产褥病率、术后住院天数两组比较无显著差异(P>0.05),术时出血量肌瘤挖除组多于单纯剖宫产组;肌瘤较大,多发性子宫肌瘤与肌瘤较小、单个肌瘤相比出血量增多,有显著差异(P<0.05)。结论妊娠合并子宫肌瘤在剖宫产时肌瘤挖除术是切实可行的。 Objective To investigate the feasibility and feasibility of reducing the amount of bleeding during pregnancy with uterine fibroids in cesarean section. Methods 96 cases of pregnancy with uterine fibroids at the same time cesarean section myomectomy and 96 cases of simple cesarean section maternal control. Results There was no significant difference in operative time, puerperal morbidity and postoperative hospital stay between the two groups (P> 0.05). The bleeding volume during operation was more in the myomectomy group than in the simple cesarean section group. The fibroids were larger and the multiple uterus Fibroids and fibroids smaller, single fibroids increased bleeding, there was a significant difference (P <0.05). Conclusion Pregnancy with uterine fibroids during cesarean section myomectomy is feasible.