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目的:研究剖宫产手术中进行子宫肌瘤剔除术治疗的可行性。方法:选取我院产科自2013年7月至2014年2月这段时期收治的进行剖宫产中进行子宫肌瘤剔除术治疗的90例孕妇患者,将其随机分为实验组和对照组,每组各45例,给予实验组的患者进行剖宫产中子宫肌瘤剔除术,对照组的患者进行剖宫产手术,比较两组患者的临床疗效。结果:实验组患者手术所需时间明显长于对照组,产后阴道出血量明显少于对照组,产后出血的发生率和术后并发症的发生情况明显少于对照组,两组差异具有统计学意义(P<0.05),但实验组的产妇术中出血量、术后排气时间以及住院时间和对照组相比没有什么区别,比较差异无统计学意义(P>0.05)。结论:对于需要进行剖宫产手术的患者进行子宫肌瘤剔除术的患者虽然会增加手术所需要的时间,但是能够显著减少产后阴道出血量,有效降低术后并发症和产后出血的发生率,不影响术中出血量和住院时间。因此在剖宫产中进行子宫肌瘤剔除术是可行性,不会增加手术的风险。
Objective: To study the feasibility of myomectomy in cesarean section. Methods: Ninety pregnant women who underwent myomectomy for myomectomy in our hospital from July 2013 to February 2014 were randomly divided into experimental group and control group, Each group of 45 cases, given to the experimental group of patients with cesarean section in the myomectomy, patients in the control group were cesarean section surgery, the clinical efficacy of the two groups were compared. Results: The time required for surgery in the experimental group was significantly longer than that in the control group. The postpartum vaginal bleeding volume was significantly less than that in the control group. The incidence of postpartum hemorrhage and postoperative complications were significantly less than those in the control group. The differences between the two groups were statistically significant (P <0.05). However, there was no difference between the experimental group and the control group in the amount of bleeding during maternal operation, postoperative exhaust time and hospital stay. There was no significant difference between the two groups (P> 0.05). Conclusions: Patients who underwent cesarean surgical resection of myomectomy may increase the time required for surgery, but can significantly reduce the amount of postpartum vaginal bleeding, reduce the incidence of postoperative complications and postpartum hemorrhage, Does not affect the amount of bleeding and hospitalization time. Therefore, the myomectomy in myomectomy is feasible, will not increase the risk of surgery.