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目的观察妊娠合并子宫肌瘤行剖宫产术中肌瘤剔除的临床疗效。方法从2014年3月-2015年3月医院妇产科收治的126例妊娠合并子宫肌瘤患者中按随机数字表法选取63例设为观察组,剖宫产术中行肌瘤剔除,将另外63例患者设为对照组,只行剖宫产术。对比2组患者手术治疗效果。结果观察组患者术中出血量、术后出血量与对照组相比差异无统计学意义(P>0.05)。观察组患者手术时间、住院时间长于对照组,缩宫素用量高于对照组(P<0.05)。观察组患者疼痛剧烈发生率及并发症总发生率与对照组相比明显较高(P<0.05)。结论妊娠合并子宫肌瘤患者在剖宫产术中行肌瘤剔除,以减少二次手术,对患者的伤害,可根据患者实际情况灵活运用。
Objective To observe the curative effect of myomectomy in cesarean section during pregnancy with uterine fibroids. Methods From March 2014 to March 2015, a total of 126 patients with pregnancy complicated with uterine fibroids admitted to the department of obstetrics and gynecology in our hospital from March 2014 to March 2015 were randomly divided into observation group and cesarean section. 63 patients as a control group, only cesarean section. Comparison of two groups of patients with surgical treatment. Results There was no significant difference between the observation group and the control group in the amount of blood loss and postoperative bleeding (P> 0.05). The operation time and hospital stay of the observation group were longer than those of the control group, and the dosage of oxytocin was higher than that of the control group (P <0.05). The incidence of severe pain and total complication in the observation group were significantly higher than those in the control group (P <0.05). Conclusion Pregnancy with uterine fibroids in cesarean section in the myomectomy to reduce secondary surgery, the patient’s injury, according to the actual situation of patients with flexible use.