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目的:探讨剖宫产同时剔除子宫肌瘤的安全性,可行性及手术技巧。方法:分析我院2007年1月—2012年12月98例剖宫产同时行子宫肌瘤剔除术的临床资料,并与同期80例单纯行剖宫产产妇临床资料进行对照,对两组手术时间、术中出血量、术后24小时出血量、术后肛门排气时间、术后发热率、术后住院天数进行分析。结果:观察组与对照组相比,手术时间及肛门排气时间延长,差异有显著性(P<0.05),术中出血量、术后24小时出血量、术后发热率及住院时间各方面比较差异无统计学意义(P>0.05)。结论:剖宫产同时剔除子宫肌瘤是安全可行的,但对于特殊部位的肌瘤要注意手术技巧,以保证手术安全。
Objective: To investigate the safety, feasibility and operation skills of cesarean section while excluding uterine fibroids. Methods: The clinical data of 98 cases of cesarean myomectomy in our hospital from January 2007 to December 2012 were analyzed. The clinical data of 80 cases of simple cesarean section in the same period were compared with each other. Time, intraoperative blood loss, amount of bleeding after 24 hours, postoperative anal exhaust time, postoperative fever, postoperative hospital stay were analyzed. Results: Compared with the control group, the operation time and anus exhaust time were longer in the observation group than in the control group (P <0.05), the amount of bleeding during operation, the amount of bleeding after 24 hours, the rate of postoperative fever and hospital stay The difference was not statistically significant (P> 0.05). Conclusion: It is safe and feasible to exclude uterine fibroids from cesarean section at the same time. However, surgical techniques should be paid attention to for the fibroids of special parts to ensure the safety of the operation.