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目的探讨剖宫产术同时行子宫肌瘤剔除术的安全性、可行性。方法 156例行剖宫产产妇,根据产妇是否剖宫产同时行子宫肌瘤剔除术分为观察组(剖宫产同时行子宫肌瘤剔除术)和对照组(仅行剖宫产),各78例。统计并比较两组产妇的手术时间、术中出血量、术后24 h出血量、产褥期感染率及住院时间。结果观察组手术时间、术中出血量较对照组增加,差异具有统计学意义(P<0.05);术后24 h出血量、产褥期感染率和住院时间组间比较差异无统计学意义(P>0.05)。结论剖宫产同时行子宫肌瘤剔除术安全性、可行性较高,减少了患者再次手术的痛苦及经济负担。
Objective To investigate the safety and feasibility of cesarean section in the simultaneous myomectomy. Methods 156 cases of cesarean section were randomly divided into observation group (cesarean concurrent with myomectomy) and control group (only cesarean section) according to whether cesarean section was performed and uterine fibroids were removed at the same time. 78 cases. Statistics and comparison of two groups of maternal operation time, intraoperative blood loss, amount of bleeding after 24 h, puerperium infection rate and hospital stay. Results The operation time and intraoperative blood loss in the observation group were significantly higher than those in the control group (P <0.05). There was no significant difference in the amount of bleeding, postpartum infection rate and length of hospital stay at 24 h after operation (P> 0.05). Conclusion Cesarean section at the same time the safety of myomectomy, the feasibility of high, reducing the patient’s re-operation pain and financial burden.