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目的探讨妊娠合并子宫肌瘤患者在剖宫产的同时行子宫肌瘤切除术的可行性及安全性。方法对120例妊娠晚期合并子宫肌瘤剖宫产同时行子宫肌瘤切除术的产妇及同期120例单纯行剖宫产术妇女的临床资料进行回顾性分析,对比手术方式、手术时间、术中出血量及术后恢复情况,而对术后病率、恶露干净及子宫复旧情况进行跟踪随访。结果两组患者术中失血量、产后失血量术后恶露干净时间和术后住院时间比较差异无统计学意义(P>0.05)。结论妊娠合并子宫肌瘤患者在剖宫产同时行子宫肌瘤切除术是安全可行的,没有增加手术风险,值得在临床推广。
Objective To investigate the feasibility and safety of cesarean myomectomy in pregnant women with uterine fibroids during cesarean section. Methods A retrospective analysis was carried out on the clinical data of 120 pregnant women with third trimester pregnancy complicated with uterine fibroids and 120 women with simple cesarean section during the same period. The operative methods, operation time, Bleeding and postoperative recovery, and the follow-up of postoperative morbidity, clean lochia and uterine involution. Results There was no significant difference between the two groups in the amount of blood loss during operation, the clean-up time of postoperative blood loss after surgery and the postoperative hospital stay (P> 0.05). Conclusion Pregnancy with uterine fibroids in cesarean section in patients with myomectomy at the same time is safe and feasible, without increasing the risk of surgery, it is worth in the clinical promotion.