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目的探讨行剖宫产术过程中实施子宫肌瘤剔除术的安全性及可行性。方法选取2011年12月至2013年12月我院收治的行剖宫产术同时进行子宫肌瘤剔除术的患者96例,作为D1组,另选取同期行剖宫产术正常产妇96例作为D2组。对比两组患者在手术过程中以及完成手术后的相关情况。结果 D1组患者的手术时间为(66±19)min,明显多于D2组的(38±13)min;D1组患者术中出血量为(296±76)ml,明显高于D2组的(172±79)ml;两组比较差异均有统计学意义(P<0.05)。两组患者在完成手术后24 h出血量、术后产褥病发率及住院时间进行比较,差异均无统计学意义(P>0.05)。结论患者在行剖宫产过程中实施子宫肌瘤剔除术,临床表现安全性高,但需对患者在术中的出血量进行有效控制。
Objective To investigate the safety and feasibility of myomectomy in the cesarean section. Methods 96 patients with cesarean myomectomy who underwent cesarean section in our hospital from December 2011 to December 2013 were enrolled in this study. In group D1, 96 normal pregnant women undergoing cesarean section were selected as D2 group. The two groups were compared during surgery and after surgery. Results The operation time of group D1 was (66 ± 19) min, significantly higher than that of group D2 (38 ± 13) min. The amount of bleeding in group D1 was (296 ± 76) ml, which was significantly higher than that of group D2 172 ± 79) ml; the differences between the two groups were statistically significant (P <0.05). There was no significant difference between the two groups in the amount of bleeding at 24 h after operation, the incidence of postpartum puerperal and hospital stay (P> 0.05). Conclusions The patients underwent myomectomy in cesarean section. The clinical manifestations were safe, but the amount of bleeding during operation was effectively controlled.