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目的探讨妊娠合并子宫肌瘤的临床治疗。方法回顾分析妊娠合并子宫肌瘤的患者62例,在剖宫产同时行肌瘤切除术。结果手术中发现肌壁间肌瘤28例,浆膜下肌瘤20例,肌壁间合并浆膜下肌瘤13例,黏膜下肌瘤1例。多发的肌瘤13例,最多的达6个,肌瘤的直径最大8 cm,最小0.6 cm,术中平均失血约360 ml,出血大于500 ml的4例,最多的1例为1200 ml,所有新生儿均存活,其中双胞胎1例。产后42 d复查,子宫均恢复良好。术后病理报告红色变性和玻璃样变性各3例。结论在剖宫产中行子宫肌瘤切除是可行的。
Objective To investigate the clinical treatment of uterine fibroids in pregnancy. Methods Retrospective analysis of 62 cases of pregnant women with uterine fibroids, cesarean section at the same time myomectomy. Results In operation, 28 cases of intramural myoma, 20 cases of subserosal myoma, 13 cases of submucous myoma between muscular wall and 1 case of submucous myoma were found. 13 cases of multiple fibroids, up to 6, the maximum diameter of fibroids 8 cm, minimum 0.6 cm, the average blood loss of about 360 ml, bleeding greater than 500 ml in 4 cases, up to 1 case of 1200 ml, all Neonates were alive, of which twins in 1 case. Postnatal 42d review, the uterus recovered well. Postoperative pathology report of red degeneration and vitreous degeneration in 3 cases. Conclusion Cesarean section line myomectomy is feasible.