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目的探讨剖宫产术同期行子宫肌瘤剔除术的安全性与可行性。方法选择2012年1月至2014年12月行剖宫产加子宫肌瘤剔除术的100例患者为治疗组,100例单纯性剖宫产的孕妇为对照组。结果与对照组比较,治疗组手术时间显著延长(P<0.05),但两组术中估算出血量、术后并发症、术后肠蠕动恢复时间、产后恶露干净时间、术后48 h阴道出血量、术后血红蛋白下降值、手术切口愈合时间比较差异未见统计学意义(P>0.05)。结论剖宫产同时行子宫肌瘤剔除缓解能患者心理压力和身体痛苦,在剖宫产术时积极进行子宫肌瘤剔除术必要、安全且可行。
Objective To investigate the safety and feasibility of myomectomy in the same period of cesarean section. Methods From January 2012 to December 2014, 100 patients who underwent caesarean section and uterine myomectomy were selected as treatment group and 100 pregnant women with simple cesarean section as control group. Results Compared with the control group, the operation time of the treatment group was significantly longer (P <0.05), but the intraoperative blood loss, postoperative complications, postoperative recovery time of peristalsis, clean postpartum lochia, postoperative vaginal bleeding 48 h Volume, postoperative hemoglobin decline, surgical incision healing time difference was not statistically significant (P> 0.05). Conclusions Cesarean section can relieve psychological pressure and physical pain in patients with myomectomy at the same time. It is necessary and safe to do myomectomy in cesarean section.