妊娠合并子宫肌瘤行剖宫产术中肌瘤切除的临床效果  

Clinical Effect of Uterine Fibroids Removal during Caesarean Section for Pregnancy Complicated with Uterine Fibroids

作　　者：宁鑫鑫 NING Xinxin(Department of Obstetrics and Gynecology,Donggang Hospital of Traditional Chinese Medicine,Donggang 118300,China)

机构地区：[1]东港市中医院妇产科,辽宁东港118300

出　　处：《中国医药指南》2020年第34期109-110,共2页Guide of China Medicine

摘　　要：目的分析在妊娠合并子宫肌瘤患者开展剖宫产术中肌瘤切除的效果。方法随机抽选2016年8月至2018年9月在本院治疗的妊娠合并子宫肌瘤患者43例,设为观察组,对照组为同期抽选的无子宫肌瘤产妇43例。两组患者均实施剖宫产手术,观察组患者在剖宫产时行肌瘤切除术。分析两组患者手术期间指标及术后相关指标,对比两组患者的并发症情况。结果观察组患者的手术时间显著高于对照组(P<0.05),两组手术出血量、术后出血量、术后缩宫素用量及住院时间等无统计学差异(P>0.05)。两组患者的各并发症率及总并发症率均无统计学差异(P>0.05)。结论临床中针对妊娠合并子宫肌瘤患者治疗时,在剖宫产手术中开展肌瘤切除术能够获得良好的效果,尽管延长了手术时间,但患者出血量及术后恢复状况均同样良好,还有效避免了实施二次手术。Objective To analyze the eff ect of uterine fi broids removal during cesarean section in pregnant women with uterine fi broids.Methods A random selection of 43 pregnant women with uterine fi broids who were treated in our hospital from August 2016 to September 2018 was selected as the observation group,and the control group was selected from the same period of 43 cases of women without uterine fi broids.Both groups of patients underwent cesarean section,and the observation group underwent myomectomy during cesarean section.Analyze the indexes during the operation and the related indexes after the operation of the two groups of patients,and compare the complications of the two groups of patients.Results The operation time of the observation group was signifi cantly higher than that of the control group(P<0.05).There was no signifi cant diff erence in the amount of surgical blood loss,postoperative blood loss,postoperative oxytocin dosage and hospital stay between the two groups(P>0.05).There was no statistical diff erence in the complication rate and total complication rate between the two groups(P>0.05).Conclusion In clinical treatment for patients with pregnancy complicated with uterine fi broids,performing myomectomy during cesarean section can achieve good results.Although the operation time is extended,the patient's bleeding volume and postoperative recovery are equally good and eff ective.Avoid the implementation of secondary operations.

关 键 词：妊娠合并子宫肌瘤 肌瘤切除 剖宫产 手术时间 并发症 

分 类 号：R737.33[医药卫生—肿瘤]