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目的探讨妊娠合并子宫肌瘤分娩期行剖宫产术并剔除子宫肌瘤的临床效果。方法选择我院2010年2月～2011年12月收治的妊娠合并子宫肌瘤患者56例,分为观察组(n=28)与对照组(n=28),观察组行剖宫产术并剔除子宫肌瘤,对照组单纯行剖宫产术,观察比较两组患者的平均手术时间、术后出血量、术后产褥病率、住院天数及术后并发症发生率。结果观察组平均手术时间、术后并发症发生率与对照组比较差异有统计学意义(P<0.05);两组术后出血量、术后产褥病率、住院天数比较差异无统计学意义(P>0.05)。结论剖宫产术中同时行剔除子宫肌瘤损伤相对较小,治疗效果较好,且安全可行,值得临床推广。
Objective To investigate the clinical effect of cesarean section and uterine fibroids during pregnancy with uterine fibroids. Methods 56 patients with uterine fibroids in our hospital from February 2010 to December 2011 were selected and divided into observation group (n = 28) and control group (n = 28). The observation group underwent cesarean section with Excision of uterine fibroids, simple cesarean section in the control group were observed and compared the average operation time, postoperative bleeding volume, postoperative morbidity, length of hospital stay and postoperative complications. Results The average operative time and the incidence of postoperative complications in the observation group were significantly different from those in the control group (P <0.05). There was no significant difference in the postoperative bleeding volume, the rate of post-operation puerperal morbidity and hospital stay (P> 0.05). Conclusion The cesarean section at the same time excluding uterine fibroids damage is relatively small, the treatment effect is good, and safe and feasible, worthy of clinical promotion.