目的 探讨妊娠合并子宫肌瘤的临床诊治处理及在剖宫产术同时行子宫肌瘤剔除术的可行性.方法 对40例妊娠合并子宫肌瘤治疗进行回顾性分析,并就其中24例剖宫产术中同时行肌瘤剔除者与30例同期无并发症的单纯行剖宫产术者进行相关对比分析.结果 子宫肌瘤可在产前产时及产后各时期带来不良影响.两组病例在手术时间、术中出血量比较无统计学差异(P>0.05).结论 子宫肌瘤对生育有较大影响,应当引起足够的重视并积极治疗,剖宫产时行子宫肌瘤剔除术是一种积极可行的方法.%Aim To explore the clinical diagnosis and treatment of the pregnant women with uterine fibroids and the clinical feasibility of hysteroma during caescrin section. Methods The clinical data of 40 pregnant women with uterine fibroids were retrospectively analyzed.Comparative analysis had been done between the 24 cases of patients of cesarean section with myomectomy and the 30 cases of patients of the simple uncomplicated cesarean section. Results Uterine fibroids could result in the adverse effects in the prenatal and postnata periods. There was no significant difference between the two group' s mean operation time and bleeding amount( P ＞ 0.05 ). Conclusion The uterine fibroids have significant impact on fertility. Pregnancy with uterine fibroids should be taken enough attention and active treatment. Cesarean section with myomectomy is a positive and feasible method.
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