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目的探讨实施剖宫产术的同时行肌瘤剔除术的安全性和可行性。方法回顾性分析了我院2006年1月至2011年4月在剖宫产术中作子宫肌瘤剔除的78例患者为A组与同期妊娠合并子宫肌瘤患者单纯行剖宫产术42例为B组,观察两组术中平均失血量、手术时间、术后24h出血量、产褥病率、住院天数、新生儿窒息率等。结果两组术中失血量及手术时间比较,差异均有统计学意义(P<0.05);肛门排气时间、术后住院天数以及新生儿窒息率两组比较差异无统计学意(P>0.05)。结论妊娠合并子宫肌瘤剖宫产指征宜适当放宽,剖宫产术中剔除子宫肌瘤是可行的。
Objective To investigate the safety and feasibility of myomectomy while performing cesarean section. Methods A retrospective analysis of our hospital from January 2006 to April 2011 in cesarean section in 78 cases of uterine fibroids removed for the A group with the same period of pregnancy with uterine fibroids simple cesarean section in 42 cases For group B, the average intraoperative blood loss, operation time, postoperative 24h blood loss, puerperal morbidity, length of hospital stay, neonatal asphyxia and so on were observed. Results The blood loss and operation time of the two groups were statistically significant (P <0.05). There was no significant difference between the two groups in the time of exhausting the anus, length of stay after hospitalization and neonatal asphyxia (P> 0.05 ). Conclusion Pregnancy with uterine fibroids cesarean indications should be appropriately relaxed, cesarean section in the removal of uterine fibroids is feasible.