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目的:探讨分析剖宫产时实施子宫肌瘤剔除术的可行性。方法:观察组患者100例,剖宫产时同时行子宫肌瘤剔除术;对照组患者122例,行单纯剖宫产术。对两组患者的术中出血量,手术时间以及术后出血情况、并发症、住院天数等方面进行分析比较。结果:观察组及对照组患者在术后出血量、并发症及住院天数方面均无统计学差异(P>0.05),但观察组患者的术中出血量和手术时间明显多于对照组(P<0.05),2组并发症均表现为腹部切口脂肪液化。结论:剖宫产中行子宫肌瘤剔除术是安全可行的,不但能使患者免除二次手术的疼痛,降低子宫切除的风险,还能减轻患者的经济负担。
Objective: To investigate the feasibility of myomectomy in cesarean section. Methods: The observation group of 100 patients, while cesarean section at the same time myomectomy; control group of 122 patients underwent simple cesarean section. Two groups of patients with intraoperative blood loss, operation time and postoperative bleeding, complications, hospital days and other aspects were analyzed and compared. Results: There was no significant difference in the amount of postoperative bleeding, complications and length of hospital stay between the observation group and the control group (P> 0.05). However, the bleeding volume and operation time in the observation group were significantly more than those in the control group (P <0.05). All the complications in the two groups showed liquefaction of abdominal incision. Conclusion: Cesarean section in myomectomy is safe and feasible, not only allows patients to relieve the pain of secondary surgery, reduce the risk of hysterectomy, but also reduce the financial burden on patients.