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目的:探讨剖宫产术中行子宫肌瘤剥除术的安全性及可行性。方法:将2009年1月—2010年12月收治的剖宫产同时行子宫肌瘤剥除术(观察组)患者32例,与随机抽出同期妊娠未合并子宫肌瘤单纯行剖宫产术(对照组)的32例产妇进行比较。结果:手术组手术时间较剖宫产明显延长,差异有统计学意义(P<0.05),但两组术中出血量、术后24h出血量、住院时间等差异均无统计学意义(P>0.05)。结论:对有经验的产科医生,在剖宫产的同时行子宫肌瘤剥除术是安全、可行的。
Objective: To investigate the safety and feasibility of hysterectomy in cesarean section. Methods: Thirty-two cases of cesarean section (observation group) undergoing cesarean section from January 2009 to December 2010 were randomly divided into three groups: cesarean section (n = Control group) 32 maternal comparison. Results: The operative time of the operation group was significantly longer than that of the cesarean section, the difference was statistically significant (P <0.05), but there was no significant difference between the two groups in the amount of intraoperative blood loss, the amount of postoperative 24h bleeding and the length of hospital stay (P> 0.05). Conclusion: It is safe and feasible for an experienced obstetrician to have a uterine myomectomy at the same time as a cesarean section.