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目的探讨在剖宫产术中处理妊娠合并子宫肌瘤的方式。方法回顾分析36例妊娠合并子宫肌瘤在剖宫产时的肌瘤处理方式,比较剔除肌瘤与不剔除肌瘤两组患者的平均手术时间、术中失血量、术后子宫复旧及术后并发症等情况。结果36例妊娠合并子宫肌瘤剖宫产术中,27例同时行肌瘤剔除术,9例行单纯剖宫产术。两组患者的平均手术时间和术中出血量相比差异均无统计学意义(P〉0.05)。未剔除组术后子宫复旧不良发生率明显高于剔除组。未剔除组中1例因产后子宫复旧差,顽固出血导致重度贫血行子宫次全切除术。结论剖宫产时尽量剔除肌瘤可减少产褥期并发症,避免再次手术给患者带来的痛苦。
Objective To explore the way of treating uterine fibroids in pregnancy during cesarean section. Methods Retrospective analysis of 36 cases of pregnancy with uterine fibroids during cesarean section fibroids treatment, fibromyalgia and non-excluding fibroids two groups of patients with the average operation time, intraoperative blood loss, postoperative uterine involution and postoperative Complications and so on. Results 36 cases of pregnancy with uterine fibroids cesarean section, 27 cases simultaneously myomectomy, 9 cases of simple cesarean section. There was no significant difference between the two groups in mean operative time and intraoperative blood loss (P> 0.05). Unextracted group of postoperative uterine infertility incidence was significantly higher than the deletion group. In the untreated group, one case was treated with subtotal hysterectomy due to the poor postpartum uterine involution and stubborn hemorrhage leading to severe anemia. Conclusion Cesarean section as far as possible to eliminate fibroids can reduce the complications of puerperal, to avoid re-surgery to patients suffering.