论文部分内容阅读
目的通过样本资料回顾性研究,探讨妊娠合并子宫肌瘤剖宫产同时行肌瘤切除的可行性。方法对2010年1月~2013年12月于我院就诊的83例妊娠合并子宫肌瘤择期手术患者临床资料进行回顾性分析。观察组:50例行子宫下段剖宫产术同时进行了肌瘤切除术;对照组:33例单纯行子宫下段剖宫产术。组间计量采用t检验,计数采用x2检验,P<0.05具有统计学意义。对比内容包括两组的手术时间、术中出血量、术后24h出血量、术后48h出血量、住院时间、恶露干净时间和并发症情况。结果除手术时间差异有统计学意义(P<0.05)外,其余术中出血量、术后24h出血量、术后48h出血量、住院时间、恶露干净时间和并发症情况均无统计学差异(P>0.05)。结论研究结果显示,对适应症范围内的妊娠合并子宫肌瘤患者在进行剖宫产的同时子宫肌瘤切除术不会增加患者手术风险,且有效避免了二次手术伤害,该方法具有可行性,临床上值得进一步推广。
Objective To retrospectively study the feasibility of cesarean section with myomectomy in pregnancy with uterine fibroids. Methods From January 2010 to December 2013 in our hospital 83 cases of pregnancy with uterine fibroids elective surgery patients with clinical data were analyzed retrospectively. Observation group: 50 cases underwent uterine cesarean section at the same time myomectomy; control group: 33 cases of simple uterine cesarean section. T-test between groups using t test, count using x2 test, P <0.05 with statistical significance. Comparisons included two groups of operation time, intraoperative blood loss, 24h postoperative bleeding, bleeding after 48h, hospital stay, cleanliness and complications of lochia. Results In addition to the statistically significant difference in operative time (P <0.05), the remaining intraoperative blood loss, postoperative 24h blood loss, postoperative 48h bleeding, hospital stay, lochia clean time and complications were not statistically different P> 0.05). Conclusions The results show that in the indications of pregnant women with uterine fibroids during cesarean section in patients with myomectomy does not increase the surgical risk of patients with surgery, and effectively avoid the secondary surgery injury, the feasibility of this method , Clinically worth further promotion.