剖宫产同时子宫肌瘤剔除60例分析  

Myomectomy during cesarean section:Analysis of 60 Cases

作　　者：薛德琼[1] 

机构地区：[1]成都市新都区人民医院妇产科,四川成都610500

出　　处：《实用医院临床杂志》2010年第3期61-62,共2页Practical Journal of Clinical Medicine

摘　　要：目的探讨妊娠合并子宫肌瘤行剖宫产术时肌瘤剔除的临床效果。方法我院妇产科2002年1月至2009年7月收治妊娠合并子宫肌瘤患者82例,其中剖宫产术同时行肌瘤剔除者60例(剔除组),未剔除者22例(未剔除组),比较两组术中出血量、手术时间、产褥病率、伤口愈合情况及住院时间等情况。结果两组术中出血量比较,差异有统计学意义(P<0.05);手术时间、产褥病率、伤口愈合情况、住院时间等比较,差异均无统计学意义(P>0.05)。结论在病例选择合适的情况下,剖宫产术中同时剔除肌瘤是可行、安全的,没有增加手术风险。Objective To evaluate the efficacy of myomectomy during cesarean section. Methods From January 2001 to July 2009, we analyzed the clinical data of 82 pregnant women with pregnancy associated hysteromyoma in our hospital. Sixty pregnant women, which were analyzed as the study group, underwent cesarean section and myomectomy simultaneously. Another 22 women, which were selected as the control group, underwent surgical delivery without removal of hysteromyoma. Blood loss, the length of hospitalization and the operative time were compared between the two groups. Results Blood loss during operation of the study group was more than that of the control group. The difference was statistically significant（ P 〈 0. 05 ）. There were no significant differences in operating time, puerperal morbidity, wound healing and length of stay between the two groups. Conclusion When selecting suitable cases, myomectomy during cesarean section is feasible and safe, without increasing the risk of surgery.

关 键 词：剖宫产 子宫肌瘤剔除术 安全性 

分 类 号：R719.8[医药卫生—妇产科学] R711.74[医药卫生—临床医学]