妊娠合并子宫肌瘤行剖宫产术中剔除临床分析  

作　　者：杨绮芸[1] 刘夏云[1] 

机构地区：[1]汕头市澄海区人民医院妇产科,515800

出　　处：《当代医学》2012年第19期90-91,共2页Contemporary Medicine

摘　　要：目的探讨妊娠合并子宫肌瘤行剖宫产术中剔除的疗效,总结其临床意义。方法选取2009年4月～2011年4月收治的48例妊娠合并子宫肌瘤产妇为观察组,再选取同期住院分娩的48例产妇为对照组,均采取剖宫产,观察比较两组手术情况。结果两组产妇的产后出血、手术时间、术中缩宫素使用量、术后并发症、宫缩乏力、胎儿窘迫的发生率比较存在明显差异(P<0.05),具有统计学意义。结论对于肌瘤位置难以暴露、耐受性差、具有多种合并症的产妇,手术危险性较大,不建议术中同步剔除肌瘤。Objective Observation and analysis of pregnancy complicated with uterine myoma during cesarean section with selecting method and effect, summarize its clinical significance. Methods In our hospital from 2009 April to 2011 April,48 cases of pregnancy complicated with uterine myoma maternal, set up for the observation group, and then select the same hospital childbirth48 cases of maternal, set as control group, were taken in cesarean section, operation condition were compared between the two groups. Results The two groups of postpartum hemorrhage, operation time, intraoperative uterine contraction and hormone use, postoperative complications, uterine atony, fetal distress compared with the incidence has obvious difference （P〈0.05）, with statistical significance. Conclusion For fibroids location difficult exposure, poor tolerability, with multiple comorbidities of maternal, operation risk is big, do not recommend intraoperative synchronous rejecting myoma.

关 键 词：妊娠 子宫肌瘤 剖宫产 剔除 

分 类 号：R737.33[医药卫生—肿瘤]