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目的探寻剖宫产子宫肌瘤剔除术的适应症及禁忌症。方法对2005年5月—2011年5月舞阳钢铁有限责任公司职工医院成功进行剖宫产子宫肌瘤剔除术的76例病例就术中出血量、手术时间、术后24h出血量、术后住院时间进行统计分析。结果单发肌瘤、中等大小、位置不特殊行剖宫产肌瘤剔除术在术中出血量、手术时间、术后24h出血量、产褥病率、术后住院时间方面无明显差异;多发肌瘤、中等大小、位置不特殊行剖宫产肌瘤剔除术在手术时间,产褥病率方面有明显差异,其余方面差异不显著。结论剖宫产子宫肌瘤剔除术的适应症:肌瘤中等大小、位置在宫体部的单发或多发肌瘤。禁忌症:位置特殊,肌瘤过大,基底部过宽的肌瘤,子宫腺肌瘤,产妇有严重的妊娠合并症或妊娠并发症。
Objective To explore the indications and contraindications of cesarean section myomectomy. Methods From May 2005 to May 2011, 76 cases of cesarean myomectomy were successfully performed in the staff hospital of Wuyang Iron & Steel Co., Ltd. The blood loss, operative time, blood loss after operation, and postoperative hospital stay Time for statistical analysis. Results Single myoma, medium size, location is not special cesarean myomectomy in intraoperative blood loss, operation time, 24h postoperative bleeding, the rate of puerperal, postoperative hospital stay no significant difference; multiple Fibroids, medium size, location is not special cesarean myomectomy in operation time, puerperal morbidity have significant differences, the rest of the difference was not significant. Conclusion Cesarean section indications for myomectomy: fibroids medium size, location in the Palace of the single or multiple fibroids. Contraindications: Location, myoma is too large, the basal Department is too wide fibroids, adenomyosis, maternal severe pregnancy complications or pregnancy complications.