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目的:探讨剖宫产术中子宫肌瘤剔除术的可行性及必要性。方法:选择2008年2月-2015年1月本医院收治妊娠外挂宝贝宫肌瘤产妇81例,其中48例选择剖宫产术同期子宫肌瘤剔除术处理纳入同期手术组,只选择剖宫产术后33例纳入单纯剖宫产术组,对比相关指标。结果:同期手术组手术时间、术中出血量、术后住院天数高于剖宫产术组(P<0.05);同期手术组与单纯剖宫产术组产后出血、产褥病、新生儿窒息、新生儿疾病、不良事件合计例次率、早吸乳率,差异均无统计学意义(P>0.05);同期手术组随访3~12个月,子宫肌瘤复发7例,无二次手术者,单纯剖宫产术组二次手术6例,高于同期手术(P<0.05)。结论:对于妊娠外挂宝贝宫肌瘤产妇,选择同期剔除延长手术、住院时间,增加术中出血量,但不会给母儿短期预后带来不良影响,但有助于降低二次手术风险。
Objective: To investigate the feasibility and necessity of myomectomy in cesarean section. Methods: From February 2008 to January 2015, the hospital admitted 81 cases of pregnant women with baby uterine fibroids, of which 48 cases were selected cesarean section at the same period myomectomy was included in the same surgical group, only choose cesarean section 33 cases were included in the simple cesarean section, compared with related indicators. Results: The operation time, intraoperative blood loss and postoperative hospital stay in the operation group were higher than those in the cesarean section (P <0.05). In the same period, postoperative bleeding, puerperal disease, neonatal asphyxia (P0.05) .At the same period, the operation group was followed up for 3 to 12 months and the recurrence of uterine fibroids was found in 7 cases without secondary surgery In the simple cesarean section group, there were 6 cases of secondary surgery, which was higher than that of the same period (P <0.05). Conclusion: For pregnant women with Fetal uterine fibroids, choosing the same period to remove prolonged operation and hospital stay and increase intraoperative blood loss, but will not adversely affect the short-term prognosis of pregnant women, but it will help reduce the risk of secondary surgery.