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目的探讨剖宫产同时行子宫肌瘤剔除术的可行性和注意事项。方法28例剖宫产同时行子宫肌瘤剔除术的产妇设为研究组,另随机选取30例同期行单纯剖宫产的产妇设为对照组,分别观察两组产妇的手术时间、术中出血量及术后24 h阴道流血量、术后肛门排气时间、术后病率及住院天数等情况,并对其进行比较分析。结果研究组与对照组相比,手术时间较长且差异有统计学意义(P<0.05);术中出血量及术后24 h阴道流血量略有增加,但无统计学意义(P>0.05);术后肛门排气时间、术后病率及住院时间等各方面比较差异无统计学意义(P>0.05)。结论如无手术禁忌证,剖宫产同时行子宫肌瘤剔除术是安全可行的。
Objective To investigate the feasibility and precautions of concurrent cesarean section excision of cesarean section. Methods 28 cases of cesarean section at the same time the myomectomy maternal as the study group, another randomly selected 30 cases of simple caesarean section during the same period of maternal as a control group were observed maternal operation time, intraoperative bleeding Amount of vaginal bleeding after 24 hours, postoperative anal exhaust time, postoperative morbidity and days of hospitalization were compared and analyzed. Results Compared with the control group, the operation time was longer and the difference was statistically significant (P <0.05). There was a slight increase in intraoperative blood loss and vaginal bleeding 24 hours after operation, but there was no statistical significance (P> 0.05 ); Postoperative anal exhaust time, postoperative morbidity and length of stay were not statistically significant (P> 0.05). Conclusion If there is no surgical contraindication, cesarean section at the same time the myomectomy is safe and feasible.