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目的探讨晚期妊娠合并子宫肌瘤的诊治方法。方法对62例晚期妊娠合并子宫肌瘤患者的临床资料进行回顾性分析。结果 62例妊娠合并子宫肌瘤患者中,单发肌瘤50例,多发肌瘤12例;其中经阴道分娩18例,剖宫产44例。剖宫产同时行肌瘤剔除术42例,剖宫产并子宫次全切除术2例。剖宫产同时行肌瘤剔出术,手术失血量和手术时间没有显著增加。结论在病例选择合适的情况下,剖宫产同时行肌瘤剔除术并不增加手术的风险。
Objective To investigate the diagnosis and treatment of uterine fibroids in late pregnancy. Methods The clinical data of 62 cases of patients with uterine fibroids in late pregnancy were analyzed retrospectively. Results 62 cases of pregnancy with uterine fibroids in patients with single myoma 50 cases, multiple fibroids in 12 cases; of which 18 cases of vaginal delivery, cesarean section in 44 cases. Cesarean at the same time line myomectomy in 42 cases, cesarean section and subtotal hysterectomy in 2 cases. Cesarean at the same time line myoma removed surgery, blood loss and operative time did not increase significantly. Conclusion In the case of appropriate choice of cases, cesarean section at the same time myomectomy does not increase the risk of surgery.