论文部分内容阅读
目的探讨剖宫产手术的同时,进行子宫肌瘤剔除术的可行性与安全性分析。方法通过2000年到2009年,在我院进行的剖宫产同时,进行子宫肌瘤剔除术的95例患者。她们的年龄在24岁到37岁之间,平均年龄是32.3岁。粘膜下肌瘤2例,肌壁间肌瘤8例,浆膜下85例。同时,随机抽取了同时期进行淡出剖宫产手术的100例产妇,设置成对照组。对照组产妇的年龄在24岁到37岁之间,平均年龄是32.0岁。这两组产妇,一组单纯进行剖宫产手术,一组是剖宫产手术的同时,进行子宫肌瘤剔除术,这两组进行对比研究。结果剖宫产的同时进行子宫肌瘤的剔除和单纯的剖宫产手术相比,手术时间有很大差异,两者同行的手术时间要明显的超过剖宫产的时间,但是,在手术中的出血量,手术后发病率,手术之后的住院时间都没有明显的差别。这就很好的说明,在剖宫产的同时进行肌瘤剔除,不会增加手术之后的出血量、住院时间和手术后的感染率。结论在剖宫产的同时进行子宫肌瘤剔除术,是比较可行的,也是比较安全的。对于资历比较高、临床经验比较丰富的妇产科医生,根据患者的实际情况进行手术。在进行剖宫产手术时,要尽量的剔除子宫肌瘤。
Objective To investigate the feasibility and safety of cesarean section excision at the same time of cesarean section. Methods From 2000 to 2009, 95 cases of myomectomy were undergone cesarean section in our hospital. They are between the ages of 24 and 37, with an average age of 32.3 years. 2 cases of submucous myoma, 8 cases of intramural myoma, serosal 85 cases. At the same time, randomly selected during the same period to fade out 100 cases of cesarean section maternal, set as a control group. Control group maternal age between 24 years old to 37 years old, the average age is 32.0 years old. The two groups of mothers, a group of simple cesarean section surgery, a group is cesarean section at the same time, the myomectomy, the two groups were compared. Results cesarean section at the same time the removal of uterine fibroids and simple cesarean section compared to the operation time is very different, both of the colleagues in the operation time to significantly exceed the time of cesarean section, but during surgery The amount of bleeding, postoperative morbidity, hospitalization after surgery, there is no significant difference. This is a good description of cesarean section at the same time myomectomy does not increase the amount of bleeding after surgery, hospital stay and postoperative infection rate. Conclusion Cesarean section at the same time for myomectomy, is more feasible, but also safer. Obstetrics and gynecology doctors with relatively high qualifications and rich clinical experience operate under the actual conditions of the patients. Cesarean section during surgery, we should try to eliminate uterine fibroids.