| 吴玲1 刘会兰2 张丽君2 张琴1△.剖宫产术中行子宫肌瘤剔除术可行性探讨[J].,2012,12(25):4940-4942 |
| 剖宫产术中行子宫肌瘤剔除术可行性探讨 |
| Discussion on Cesarean Section Boc Myomectomy Safety |
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| DOI： |
| 中文关键词: 剖宫产术 子宫肌瘤剔除术 妊娠 |
| 英文关键词: Cesarean section LAVM Pregnancy |
| 基金项目: |
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| 中文摘要: |
| 目的：观察剖宫产术中行子宫肌瘤剔除术的安全性及可行性。方法：将我院2010 年1 月-2012 年1 月入诊的90 例子宫肌瘤
的妊娠期孕妇，行剖宫产术同时行子宫肌瘤剔除术的患者，与同期83 例单纯剖宫产手术患者对比研究，观察两种手术方式的临
床疗效及其疾病预后分析。其主要比较的指标是平均手术时间、术中出血量、术后24h 出血量、手术前后血红蛋白差值、平均住院
时间、产褥病率及并发症等，记录并观察两组患者的上述指标，进行比较分析。结果：两组观察指标比较除剖宫产术中行子宫肌瘤
剔除术平均手术时间(77.1±8.5)明显高于单纯剖宫产术(33.7±7.9)，（t=34.70,P<0.05）外，其他各项测量术中出血量(t=0.09, P>0.
05)、术后24h 出血量(t=0.61, P>0.05)、手术前后血红蛋白差值(t=1.57, P>0.05)、住院时间(t=1.05, P>0.05)及产褥病率(x2=0.077, P>0.
05),其他并发症发生率（x2=0.246, P>0.05）指标均无明显差异（P>0.05）。结论：对于有手术适应症的妊娠期子宫肌瘤孕妇，可根据患
者及其家属医院选择剖宫产术同时行子宫肌瘤剔除术，该手术安全可靠，能避免二次手术或子宫切除等，临床上值得推广应用。 |
| 英文摘要: |
| Objective: To explore the safety and feasibility of myomectomy during crearean section. Methods: The clinical data of
90 cases recieving myom ectomy during cesarean section were retrospectively analyzed and compared with those of 83 cases of normal
cesarean section from Jan,2010 to Jan, 2012. Results: Average operation time of myomectomy with cesarean section (74.5±8.8) was significantly
longer than pure cesarean section (32.7±6.3), (t=35.66, P<0.05). There is no obvious differences (P>0.05) in bleeding volume
during operation (t=0.09, P>0.05), 24h bleeding volume after operation (t=0.61, P>0.05), hemoglobin dif- ference before and after
operation (t=1.57, P>0.05), the length of time (t=1.05, P>0.05) and puerperalism rate (x2= 0.077, P>0.05), and other complications (x2=
0.246, P>0.05). Conclusions: Myomectomy during cesarean section is safe and feasible, which is worthy to be extended in clinical practice. |
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