妊娠合并子宫肌瘤行剖宫产术中肌瘤切除的临床研究  

Clinical Study on Myomectomy in Caesarean Section for Pregnancy Combined with Hysteromyoma

作　　者：刘巧 LIU Qiao(Hefei Binhu Hospital of Anhui, Hefei Anhui 230001)

机构地区：[1]安徽省合肥市滨湖医院,安徽合肥230001

出　　处：《世界最新医学信息文摘》2018年第2期9-10,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨妊娠合并子宫肌瘤行剖宫产术中肌瘤切除的临床疗效和安全性。方法选取2016年8月至2017年8月期间在本院妇产科分娩的妊娠合并子宫肌瘤患者84例作为研究对象,随机分为对照组和观察组,各42例。对照组常规行子宫下段剖宫产术,观察组行剖宫产术中肌瘤切除,统计两组手术时间、术中出血量、术后出血量、术后宫缩素使用量,并观察两组患者术后并发症和疼痛情况。结果两组患者均顺利完成剖宫产术,观察组患者子宫肌瘤切除率为100%。观察组手术时间和术后缩宫素用量显著高于对照组,组间差异具有统计学意义(P<0.05)。观察组术中出血量、术后出血量、住院时间均略高于对照组,但无明显差异(P>0.05),无统计学意义。观察组剖宫产术后并发症发生率(28.57%)略高于对照组(21.43%),但无明显差异(P>0.05),无统计学意义。观察组术后12 h、24 h、48 h、72 h疼痛评分显著均高于对照组,组间差异具有统计学意义(P<0.05)。结论妊娠合并子宫肌瘤行剖宫产术中肌瘤切除临床疗效可靠,安全性较高,有助于降低二次手术率,临床应用安全可靠。Objective to investigate clinical effect and safety of myomectomy in cesarean section for pregnancy with hysteromyoma. Methods choose 84 cases pregnant women with hysteromyoma in obstetrics and gynecology department of our hospital from August 2016 to August 2017 as study objects, divide them into control and observation group randomly, 42 cases in each. Control group was treated with routine lower uterine segment cesarean section. And observation group with myomectomy in cesarean section. Carry on statistics of operation time, intraoperative blood loss, postoperative bleeding and postoperative uterine contraction comsumption between two groups, and observe postoperative complications and pains of two groups. Results both groups completed caesarean section successfully, hysteromyoma resection rate of observation group was 100%, operation time and oxytocin dosage of observation group was significantly higher than control group, difference showed statistical significance between two groups,（P〈0.05）. Intraoperative bleeding amount, postoperative bleeding amount and hospitalization time of observation group was slightly higher than control group, difference showed no statistical significance（P〈0.05）. Postoperative complications incidence of observation group（28.57%） was slightly higher than control group（21.43%）, difference showed no statistical significance,（P〈0.05）. Postoperative pain scores after 12 h, 24 h, 48 h and 72 h of observation group were significantly higher than control group, difference showed statistical significance between two groups,（P〈0.05）. Conclusion myomectomy in cesarean section has reliable clinical effect and high safety for pregnancy with hysteromyoma, which is helpful for reducing second operation rate.

关 键 词：妊娠合并子宫肌瘤 剖宫产术 肌瘤切除 临床 

分 类 号：R711.74[医药卫生—妇产科学]