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通过近年来国内外发表的妊娠合并子宫肌瘤在剖宫产的同时是否应行肌瘤剔除术的研究现状,探讨妊娠合并子宫肌瘤孕妇在剖宫产同时行肌瘤剔除的指征、禁忌症及防止术时出血的方法,并与单纯剖宫产组比较手术时间、术后出血量、术后病率、术后住院天数,结果显示两组间无显著性差异。剖宫产术中子宫肌瘤的处理应根据肌瘤位置、大小、患者的全身情况及术者的技术、经验,以安全为前提,权衡利弊,实施个体化方案,由有经验的医生在剖宫产同时有选择性地行子宫肌瘤剔除术是安全的。
In recent years, published at home and abroad by pregnancy with uterine fibroids in the cesarean section should also be myomectomy status quo, to explore pregnant women with uterine fibroids pregnant women in the cesarean section at the same time indications for myomectomy, taboo Disease and prevent bleeding at the time of surgery, and compared with simple cesarean section operation time, postoperative blood loss, postoperative morbidity, postoperative hospital stay, the results showed no significant difference between the two groups. Cesarean section in the treatment of uterine fibroids should be based on the location of fibroids, size, the patient’s general condition and the surgeon’s technology, experience, safety as a precondition, weighing the pros and cons, the implementation of individual programs by the experienced doctor in profile Palace at the same time selectively line myomectomy is safe.