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目的探讨妊娠合并子宫肌瘤剔除术与单纯子宫肌瘤剔除术的手术差异。方法回顾性选取2015年1月至2016年1月大连庄河市妇幼保健院收治的妊娠合并行子宫肌瘤剔除术的患者50例作为观察组,另从同期该院非妊娠单纯实施子宫肌瘤剔除术的患者中选取50例作为为对照组,比较两组患者的手术结果。结果两组患者肌瘤类型、肌瘤个数以及肌瘤直径等肌瘤特征方面比较差异均无统计学意义(均P>0.05);观察组患者的手术时间和术中出血量为(95±10)min、(250±20)ml,高于对照组的(76±10)min、(145±15)ml,差异均有统计学意义(均P<0.05);两组患者术后输血率、并发症发生率和住院时间比较,差异均无统计学意义(均P>0.05);观察组患者肌瘤变性发生率为16.0%,明显高于对照组的2.0%,差异有统计学意义(P<0.05)。结论对妊娠合并子宫肌瘤患者在行剖宫产手术同时行子宫肌瘤剔除术是可行的。
Objective To investigate the surgical differences between myomectomy and uterine myomectomy in pregnancy. Methods Retrospectively selected from January 2015 to January 2016, Zhuanghe MCH hospital in Dalian, pregnant women with myomectomy 50 patients were treated as observation group, the other from the same period the hospital non-pregnancy simple implementation of uterine fibroids Fifty patients were selected as the control group to compare the operation results of two groups of patients. Results There was no significant difference in fibroid types, fibroids and fibroids between the two groups (all P> 0.05). The operative time and blood loss in the observation group were (95 ± 10) min, (250 ± 20) ml higher than that in the control group (76 ± 10) min and (145 ± 15) ml, respectively, with statistical significance (all P <0.05) , The incidence of complications and hospital stay, the difference was not statistically significant (all P> 0.05); the incidence of fibroids in the observation group was 16.0%, significantly higher than 2.0% in the control group, the difference was statistically significant ( P <0.05). Conclusion Pregnancy with uterine fibroids in cesarean section underwent simultaneous myomectomy is feasible.