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目的:探讨预防剖宫产术中同时剔除子宫肌瘤致产后出血的方法。方法:选择68例剖宫产术中同时剔除子宫肌瘤病例作为观察组,根据子宫肌瘤的大小、位置、数量的不同,在肌瘤剔除前予以不同的预处理,记录手术时间、出血量、术后并发症、术后住院天数、产后42天复诊情况,同时选择同期因社会因素行剖宫产患者70例作为对照组,记录相关指标,并进行比较分析。结果:观察组手术时间长于对照组(P<0.05);其余指标差异无统计学意义。结论:根据个体的差异,子宫肌瘤剔除前选择不同的预处理,不增加产后出血、产褥病率的发生率、不延长住院时间、不影响产褥期子宫复旧,剖宫产同时行子宫肌瘤剔除是安全、可行的。
Objective: To explore the method of preventing postpartum hemorrhage while excluding uterine fibroids in cesarean section. Methods: 68 cases of uterine myoma were excluded from the cesarean section as the observation group. According to the size, location and quantity of uterine fibroids, different pretreatments were performed before myomectomy. The operation time and amount of bleeding , Postoperative complications, postoperative hospital days, 42 days postpartum referral situation, at the same time choose the same period due to social factors in 70 cases of cesarean section as a control group, record the relevant indicators, and comparative analysis. Results: The operation time of the observation group was longer than that of the control group (P <0.05). There was no significant difference between the other indexes. Conclusion: According to the individual differences, before the rejection of uterine fibroids choose a different pretreatment, does not increase the incidence of postpartum hemorrhage, the incidence of puerperal, do not extend the length of stay, does not affect the puerperium uterine involution, cesarean section at the same time uterine fibroids Elimination is safe and feasible.