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目的分析行剖宫产术的同时剔除子宫肌瘤的效果和手术安全性。方法本研究对象取2014年2月至2015年2月于徐闻县妇幼保健院就诊的子宫肌瘤妊娠患者45例,根据随机数字表法将其分为对照组(22例)与观察组(23例),两组均行剖宫产手术,对照组在此基础上择期开展子宫肌瘤剔除术,观察组则在剖宫产术式的同时行子宫肌瘤剔除术。对比两组手术情况、术后并发症发生率以及生活质量改善情况,并对研究结果相关数据做统计学处理。结果与对照组相比,观察组术中出血量以及术后引流量略多,首次肛门排气时间较早,住院时间更短,但组间比较差异未见统计学意义(P>0.05);与对照组相比,观察组新生儿窒息、掺入感染、产后出血以及切口愈合不良等并发症发生率明显更低,组间比较差异有统计学意义(P<0.05)。结论对于妊娠合并子宫肌瘤的患者而言,剖宫产同时剔除子宫肌瘤有利于降低术后并发症,避免二次手术创伤,具有积极的临床意义,值得推广使用。
Objective To analyze the effect of removing uterine fibroids and surgical safety while performing cesarean section. Methods Forty-five patients with uterine fibroids who were treated in Xuwen County MCH from February 2014 to February 2015 were divided into control group (22 cases) and observation group (23 cases) according to random number table Cases), two groups were undergoing cesarean section surgery, the control group on the basis of elective myomectomy, the observation group in the cesarean section at the same time the myomectomy. The operation conditions, the incidence of postoperative complications and the quality of life were compared between the two groups, and the data of the study were statistically analyzed. Results Compared with the control group, the bleeding volume in the observation group and the drainage volume after operation were slightly higher than those in the control group. The time of the first anal exhaust was earlier and the length of hospital stay was shorter. There was no significant difference between the two groups (P> 0.05). Compared with the control group, the complication rates of neonatal asphyxia, mixed infection, postpartum hemorrhage and poor incision healing were significantly lower in the observation group with statistical significance (P <0.05). Conclusion For pregnant patients with uterine fibroids, cesarean section at the same time excluding uterine fibroids is conducive to reduce postoperative complications, to avoid secondary surgical trauma, has a positive clinical significance, it is worth promoting the use of.