妊娠合并子宫肌瘤患者分娩方式的探讨  

The evaluation of delivery methods for uterine leiomyoma in pregnancy

作　　者：李艳晓[1] 张灵武[2] 

机构地区：[1]宁夏医科大学,宁夏银川750004 [2]宁夏医科大学总医院妇科,宁夏银川750004

出　　处：《宁夏医学杂志》2012年第8期750-751,共2页Ningxia Medical Journal

摘　　要：目的探讨妊娠合并子宫肌瘤的患者在终止分娩时所选择的方式,及行剖宫产手术时对子宫肌瘤的处理原则和方法。方法回顾性分析住院治疗的妊娠合并子宫肌瘤340例患者的临床资料,并与选取同期来院分娩正常妊娠的340例患者从分娩方式、手术时间、术中出血量及术后住院天数进行对比。结果妊娠合并子宫肌瘤剖宫产率为93.24%,较不合并子宫肌瘤者(86.18%)明显增高。剖宫产术中同时行子宫肌瘤剔除术虽然会明显增加手术时间,但并不会明显增加手术难度及术中出血量,对患者术后恢复情况也无明显影响。结论子宫肌瘤并非终止妊娠的绝对指征,剖宫产术中同时行子宫肌瘤剔除术是可行的,但须严格掌握手术指征,且具备熟练的手术技巧。Objective To study the processing principle and methods for the patients with pregnancy complicated with uterine myoma when they underwent cesarean operation on uterus myoma,and provide certain basis on the patients to choose whether to continue pregnancy and the childbirth methods.Methods A delivery mode,operation time,intraoperative blood loss and postoperative hospital stay of the patient complicated with uterine myoma were retrospectively analyzed and the same number pregnancy patients were studied.Results Pregnancy with uterine fibroids was significantly increased the rate of patients with cesarean delivery.The uterine myomectomy during the cesarean section would significantly increased the operation time,but did not significantly affect operation difficulty and intraoperative blood loss,postoperative recovery of patients.Conclusion Myoma of uterus is not an absolute indication for termination of pregnancy,and the cesarean section and myomectomy are performed at the same time is feasible,but necessary to strictly master the operation indications,and have the skilled operation techniques.

关 键 词：妊娠 子宫肌瘤 剖宫产术 

分 类 号：R737.33[医药卫生—肿瘤] R714.2[医药卫生—临床医学]