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目的:探讨剖宫产术中同时行子宫肌瘤切除术的安全性及可行性。方法:选择120例妊娠晚期合并子宫肌瘤在剖宫产术中同时行子宫肌瘤剔除术的产妇(作为观察组)及随机选择同期110例妊娠未合并子宫肌瘤行剖宫产术的产妇(作为对照组)的临床资料进行回顾性分析,对比两组的手术时间、术中术后出血量、平均住院时间以及产褥病率等指标。结果:观察组和对照组相比,剖宫产术中行子宫肌瘤剔除术平均手术时间明显高于单纯剖宫产术,差异有统计学意义(P<0.05);而术中平均出血量、住院天数、随访期内恶露持续时间,观察组和对照组相比差异均无统计学意义(P>0.05)。结论:对于有手术适应证的妊娠期子宫肌瘤孕妇,可根据患者及其家属要求,选择剖宫产术同时行子宫肌瘤剔除术,能避免二次手术。
Objective: To investigate the safety and feasibility of concurrent hysterectomy in cesarean section. Methods: 120 pregnant women with uterine fibroids in the third trimester of pregnancy who underwent myomectomy in the cesarean section (as observation group) and 110 women who underwent cesarean section during the same period were randomly selected (As a control group) were retrospectively analyzed. The operation time, intraoperative and postoperative bleeding volume, average length of stay, and puerperal morbidity were compared between the two groups. Results: Compared with control group, the mean operative time of cesarean myomectomy in observation group was significantly higher than that of simple cesarean section (P <0.05), while the mean intraoperative blood loss, The days of hospitalization, the duration of lochia during the follow-up period, there was no significant difference between the observation group and the control group (P> 0.05). Conclusion: Pregnant women with gestational uterine fibroids who have surgical indications can choose cesarean section and uterine myomectomy according to the requirements of patients and their families, and can avoid secondary surgery.