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目的:探讨剖宫产同时进行子宫肌瘤切除术的可行性以及安全性,为剖宫产合并子宫肌瘤患者的临床治疗提供参考。方法:回顾性总结分析我院在2009年1月至2013年12月期间进行剖宫产合并子宫肌瘤切除术的50患者的临床病例资料,同时对比同期进行剖宫产手术无子宫肌瘤50例产妇的临床资料,比较两组患者的手术出血情况以及手术时间。结果:观察组产妇手术时间明显长于对照组,差异具有统计学意义(P<0.05);观察组产妇出血量与对照组相近,差异无统计学意义(P>0.05),两组产妇手术后并发症发生情况相比,差异无统计学意义(P>0.05)。除子宫肌瘤阻塞产道之外,两组产妇其他剖宫产手术指证无统计学差异(P>0.05)。结论:在剖宫产的同时对患者进行子宫肌瘤切除手术,能够减少产妇的痛苦,避免了二次手术对产妇造成的伤害,恰当的把握手术适应症,在剖宫产手术时进行子宫肌瘤切除术具有很好的安全性和可行性。
Objective: To investigate the feasibility and safety of cesarean section for myomectomy at the same time and to provide reference for the clinical treatment of patients with cesarean uterine fibroids. Methods: A retrospective analysis of our hospital in January 2009 to December 2013 cesarean section with myomectomy 50 patients with clinical data, while comparing the same period of cesarean section without uterine fibroids 50 Cases of maternal clinical data were compared between the two groups of patients with surgical bleeding and operation time. Results: The maternal operation time in the observation group was significantly longer than that in the control group (P <0.05). The maternal bleeding in the observation group was similar to that in the control group, with no significant difference (P> 0.05). The maternal postoperative complications The difference was not statistically significant (P> 0.05). In addition to obstruction of the uterine fibroids birth canal, the other two groups of maternal cesarean section showed no significant difference (P> 0.05). Conclusion: Cesarean section in patients with myomectomy surgery, can reduce maternal pain, to avoid the secondary surgery on the maternal injury, the appropriate grasp of surgical indications, cesarean section in the operation of uterine muscle Tumor resection has good safety and feasibility.