剖宫产同时行子宫肌瘤剔除术90例分析

摘要

目的:探讨妊娠合并子宫肌瘤在剖宫产术中同时行肌瘤剔除术的可行性及安全性.方法:回顾性分析2005年1月～2009年12月本院收治的90例妊娠合并子宫肌瘤在剖宫产同时行肌瘤剔除术的患者及同期180例妊娠未合并子宫肌瘤单纯剖宫产术的患者的临床资料.结果:剖宫产同时行肌瘤剔除术组手术操作时间较对照组延长,P＜0.05,但两组平均术中出血量、产后24h出血量、术后病率、术后血红蛋白下降值及术后住院天数差异无统计学意义(P＞0.05).结论:对于有经验的产科医生,根据患者具体情况,在剖宫产同时行子宫肌瘤术是安全可行的.%Objiective: To approach the feasibility and safety about myomactomy performed during cesarean section.Methods: Medical records of 270 pregnant women were collected from January 2005 to December 2009.90 women received myomactomy during cesarean section, which were compared with 180 women with simple cesarean section.Results:The operation time of the cesarean section group simultaneously myomectomy was longer than the control group (P＜0.05),but the average blood loss, blood loss 24 hours of delivery, postoperative morbidity, decreased postoperative hemoglobin value and the postoperative hospital stay had no significant difference(P＞0.05).Conclusion: For experienced obstetricians,according to the specific circumstances of patients, myomactomy during cesarean section is both safe and feasible.