论文部分内容阅读
目的研究妊娠合并子宫肌瘤行剖宫产同时剔除子宫肌瘤对母婴安全的影响及可行性。方法选取2011年4月—2014年10月于丰城市妇幼保健院行剖宫产同时剔除子宫肌瘤的妊娠合并子宫肌瘤产妇122例作为观察组,选择同期收治的妊娠无子宫肌瘤产妇102例作为对照组。比较两组产妇的手术时间、术中出血量、术后恶露干净时间、住院时间、产褥期感染情况以及新生儿窒息、1min Apgar评分、新生儿缺氧缺血性脑病(HIE)、胎粪吸入综合征发生情况。结果观察组手术时间长于对照组,差异有统计学意义(P<0.05),两组术中出血量、术后恶露干净时间、住院时间、产褥期感染率比较,差异无统计学意义(P>0.05)。两组新生儿窒息发生率、1min Apgar评分、HIE发生率、胎粪吸入综合征发生率比较,差异无统计学意义(P>0.05)。结论妊娠合并子宫肌瘤剖宫产同时行子宫肌瘤剔除术对于母婴健康无明显影响,安全可行,对减轻产妇心理和经济负担、提高生活质量有重要意义。
Objective To study the effect and feasibility of cesarean section in pregnant women with uterine fibroids on maternal and child safety while excluding uterine fibroids. Methods From April 2011 to October 2014, 122 maternal women with uterine fibroids who undergone cesarean section and cesarean myoma at Fengcheng MCH hospital were selected as the observation group. Cases as a control group. The operative time, intraoperative blood loss, postoperative lochia clean time, hospital stay, puerperium infection and neonatal asphyxia, Apgar score at 1 minute, neonatal hypoxic-ischemic encephalopathy (HIE) and meconium aspiration were compared between the two groups Occurrence of the situation. Results The operation time of the observation group was longer than that of the control group (P <0.05). There was no significant difference between the two groups in the amount of blood loss, the time of postoperative clean-up of lochia, the length of hospital stay, and the puerperium infection rate (P> 0.05 ). The incidence of neonatal asphyxia, 1-minute Apgar score, incidence of HIE and incidence of meconium aspiration syndrome in the two groups were not significantly different (P> 0.05). Conclusion Pregnancy with uterine fibroids at the same time cesarean section myomectomy for maternal and child health no significant impact, safe and feasible, to reduce maternal psychological and financial burden, improve the quality of life is of great significance.