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目的探讨晚期妊娠合并子宫肌瘤恰当的临床处理方法。方法对1994年4月至2004年4月广东省阳江市妇幼保健院治疗的40例晚期妊娠合并子宫肌瘤的资料进行回顾性分析。结果40例妊娠合并子宫肌瘤患者中,单发肌瘤22例,多发肌瘤18例;其中经阴道分娩12例,剖宫产28例。剖宫产同时肌瘤剔除术15例,剖宫产并子宫次全切除术1例。剖宫产同时行肌瘤剔出术,手术失血量和手术时间没有显著增加。结论病例选择合适的情况下,剖宫产同时行肌瘤剔除术并没有增加手术的风险。
Objective To investigate the appropriate clinical treatment of uterine fibroids in late pregnancy. Methods A retrospective analysis was performed on the data of 40 cases of advanced uterine fibroids treated in Maternal and Child Health Hospital of Yangjiang City from April 1994 to April 2004. Results Of the 40 patients with pregnancy complicated with uterine fibroids, 22 were single myoma and 18 were multiple fibroids. Of these, 12 were vaginal delivery and 28 were cesarean. Cesarean section myomectomy at the same time in 15 cases, cesarean section and subtotal hysterectomy in 1 case. Cesarean at the same time line myoma removed surgery, blood loss and operative time did not increase significantly. Conclusion In the case of suitable cases, cesarean section at the same time myomectomy did not increase the risk of surgery.