妊娠合并子宫肌瘤剖宫产术时剔除与未剔除肌瘤 临床对照分析  

The clinical control analysis of myomectomy and non-myomectomy during cesarean section of pregnancy complicated with uterine fibroids

作　　者：云蕊 Yun Rui(Department of Obstetrics and Gynecology,Wenchang People's Hospital of Hainan Province,Wenchang 571300,China)

机构地区：[1]海南省文昌市人民医院妇产科,海南文昌571300

出　　处：《实用妇科内分泌电子杂志》2022年第20期11-13,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究对于妊娠合并子宫肌瘤产妇在进行剖宫产术时,剔除与未剔除肌瘤对于产妇的影响。方法选取60例妊娠合并子宫肌瘤产妇,采用随机排序分组法分为对照组(实施剖宫产术)与研究组(实施剖宫产术时行子宫肌瘤剔除术),各30例。比较两组产妇各项临床指标及并发症发生情况。结果两组产妇手术时间、术中失血量、术后24h出血量、住院时间、产褥病率及新生儿窒息率比较,差异无统计学意义(P>0.05)。研究组产妇并发症发生率为23.33%,与对照组的20.00%比较,差异无统计学意义(P>0.05)。结论妊娠合并子宫肌瘤产妇在剖宫产术过程中联合子宫肌瘤剔除术,具有安全、可行的特点,与单行剖宫产术产妇相比在临床指标及并发症发生率方面无明显差距,可以将其应用在临床治疗中,具有非常重要的意义。Objective To study the effect of removing and not removing fibroids on pregnant women with uterine fibroids during cesarean section.Methods 60 pregnant women with uterine fibroids were selected and divided into control group(cesarean section)and study group(cesarean section during myomectomy)by random sorting method,with 30 cases each.The clinical indicators and complications were compared between the two groups.Results There were no significant differences in operation time,intraoperative blood loss,postoperative 24 h blood loss,hospital stay,puerperal disease rate and neonatal asphyxia rate between the two groups(P>0.05).The incidence of maternal complications in the study group was 23.33%,which was not statistically significant compared with 20.00%in the control group(P>0.05).Conclusion Pregnant women with uterine myomectomy in the process of cesarean section combined with uterine myomectomy,has the characteristics of safety and feasibility,and compared with the single cesarean section,there is no significant gap in the clinical indicators and incidence of complications,it can be applied in clinical treatment,has very important significance.

关 键 词：妊娠 子宫肌瘤 剖宫产术 子宫肌瘤剔除术 

分 类 号：R737.33[医药卫生—肿瘤]