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目的 :探讨在剖宫产手术中进行子宫肌瘤剔术的可行性。方法 :对2013年5月~2014年5月期间在我院进行剖宫产手术的112例合并子宫肌瘤产妇的临床资料进行回顾性研究。我们将这112例产妇随机分为观察组和对照组,每组各有56例产妇。我院对对照组产妇进行剖宫产手术,对观察组产妇在进行剖宫产手术(方法与对照组产妇相同)的过程中,进行子宫肌瘤剔术。手术结束后,比较两组产妇手术的用时、术中的出血量、产后24h内阴道的出血量、从术毕至首次排气的时间、住院的时间、从术毕至恶露完全消失的时间、产后出血的发生率和产褥期并发症的发生率。结果 :观察组产妇手术的用时明显长于对照组产妇,其产后24h内阴道的出血量明显少于对照组产妇,二者相比差异具有显著性(P<0.05)。两组产妇术中的出血量、从术毕至首次排气的时间、住院的时间和从术毕至恶露完全消失的时间大体相同,二者相比无显著性差异(P>0.05)。观察组产妇产后出血的发生率和产褥期并发症的发生率均明显低于对照组产妇,二者相比差异具有显著性(P<0.05)。结论 :在剖宫产手术中进行子宫肌瘤剔术虽然会增加产妇手术的时间,但能有效地减少其产后24h内阴道的出血量,降低其产后出血和产褥期并发症的发生率,而且不会增加其术中的出血量和康复的时间。因此,在剖宫产手术中进行子宫肌瘤剔术是可行的。
Objective: To explore the feasibility of myomectomy in cesarean section. Methods: The clinical data of 112 women with uterine fibroids who underwent cesarean section in our hospital from May 2013 to May 2014 were analyzed retrospectively. We will 112 cases of women were randomly divided into observation group and control group, each with 56 cases of maternal. Cesarean section in our control group maternal surgery, observation group maternal cesarean section in the process (the same method as the control group maternal) process, uterine fibroids surgery. After surgery, comparing the two groups of maternal surgery time, intraoperative blood loss, vaginal bleeding within 24 hours after delivery, from the time of surgery to the first time of discharge, hospitalization, from surgery to complete disappearance of lochia, The incidence of postpartum hemorrhage and the incidence of postpartum complications. Results: The duration of maternal operation in the observation group was significantly longer than that of the control group. The amount of vaginal bleeding in the observation group was significantly less than that in the control group within 24 hours after delivery. The difference was significant (P <0.05). There was no significant difference between the two groups (P> 0.05). The amount of bleeding in the two groups was almost the same from the time of operation to the first time of expelling, the time of hospitalization and the time of complete disappearance from operation to lochia. The incidence of postpartum hemorrhage and puerperal complications in the observation group were significantly lower than those in the control group, the difference was significant (P <0.05). CONCLUSIONS: Cesarean section in caesarean operation may increase the maternal operation time, but it can effectively reduce the amount of vaginal bleeding within 24 hours after delivery and reduce the incidence of postpartum hemorrhage and puerperium complications, but not Will increase the amount of bleeding during surgery and recovery time. Therefore, cesarean section in the myomectomy surgery is feasible.