剖宫产术同期行子宫肌瘤剔除术70例临床研究
[摘要] 目的：探讨妊娠合并子宫肌瘤在剖宫产术中同时行肌瘤剔除术的可行性及安全性。方法：回顾性分析2006年2月～2010年1月我院收治的70例妊娠合并子宫肌瘤在剖宫产术时同期行肌瘤剔除术的患者，并与70例妊娠单纯剖宫产术患者的临床资料作对比。结果：剖宫产术时同期行肌瘤剔除术组手术时间较对照组延长（P<0.05），但两组平均术中估算出血量、产后48 h出血量、术后血红蛋白下降值、术后并发症、术后肠蠕动恢复时间、手术切口愈合时间等观察指标差异无统计学意义（P>0.05）。结论：剖宫产术时同期行子宫肌瘤剔除术有必要且安全可行，解除了患者的生理疾病、心理压力，减轻了经济负担。
[关键词] 妊娠；子宫肌瘤；剖宫产；剔除术
[中图分类号] R737.33[文献标识码]Ａ [文章编号]1673-7210（2011）04（a）-046-02
Clinical research of 70 cases of myomactomy performed during cesarean section
DONG Ying
The Central Hospital of Birth Control in Yutian County, Hebei Province, Yutian 064100, China
[Abstract] Objective: To approach the feasibility and safety myomactomy performed during cesarean section. Methods: Retrospective analysis of 70 pregnant women collected from February 2006 to January 2010 in our hospital. 70 women received myomactomy during cesarean section, which were compared with 70 women with simple cesarean section. Results: Cesarean section group simultaneously myomectomy operation time longer than the control group (P<0.05), but the estimate blood loss, blood loss 48 hours of delivery, decreased postoperative hemoglobin value, postoperative complications, postoperative intestinal peristalsis time, the postoperative incision healing time was no significant difference (P>0.05). Conclusion: Myomactomy during cesarean section is safe and feasible, can relieve the patients′ physical sickness and psychological distress, lessen the financial burden.
[Key words] Pregnancy; Hysteromyoma; Cesarean section; Myomectomy
在妇...
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