妊娠合并子宫肌瘤在剖宫产术中处理的探讨

摘要

目的：探讨在剖宫产手术中应用不同处理方式对合并有子宫肌瘤的妊娠产妇的影响。方法：将60例合并有子宫肌瘤的妊娠产妇按照随机数字表法分为A组和B组，每组30例。其中A组在行剖宫产术中不接受子宫肌瘤切除，B组在行剖宫产术中接受子宫肌瘤切除治疗，分别对两组术中情况及术后情况进行对比。结果：两组手术时间、术中出血量及术后出血量比较，差异均无统计学意义(P>0.05)；B组产后术后缩宫素使用量及产后恶露时间分别为(25.01±3.51)U、(31.56±1.92)d，而A组分别为(24.21±4.11)U、(32.01±2.12)d，两组比较差异均无统计学意义(P>0.05)。结论：在合并有子宫肌瘤的妊娠产妇行剖宫产时是否子宫肌瘤切除，对于剖宫产效果无明显影响。%Objective:To study the application in cesarean section surgery different processing methods on the influence of maternal pregnancy with uterine fibroids.Method:60 patients with uterine fibroids pregnancy were randomly divided into group A and group B,30 cases in each group.Group A row of cesarean section did not accept hysteromyoma,group B in hysteromyoma resection treatment of cesarean section.Intraoperative and postoperative conditions of two groups were compared.Result:The operation time,intraoperative blood loss and postoperative blood loss between two groups were no statistical differences(P>0.05). The postoperative oxytocin usage and postpartum postpartum lochia time between two groups were no statistical differences(P>0.05).Conclusion:In with the linematernal pregnancy cesarean section of uterine fibroids in the uterus myoma resection,but has no effect for cesarean delivery.