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目的:探讨剖宫产术中行子宫肌瘤剔除术的必要性、可行性及安全性。方法:回顾性分析该院1999年1月～2008年6月剖宫产术中行子宫肌瘤剔除术105例患者及同期剖宫产术中发现子宫肌瘤而未行剔除术90例患者的临床资料。结果:剖宫产术中行子宫肌瘤剔除术组手术时间明显延长(P<0.05),术中出血量增多(P<0.05),但两组血红蛋白下降及术后恢复情况均无明显差异(P>0.05)。术中未行子宫肌瘤剔除术组术后随访半年,超声提示子宫肌瘤消失者16例(17.8%),体积缩小超过1/2者33例(36.7%),不变者19例(21.1%),失访22例(24.4%)。结论:产科医生应该根据患者的具体情况,剖宫产术中选择性地进行子宫肌瘤剔除术。
Objective: To investigate the necessity, feasibility and safety of myomectomy in cesarean section. Methods: A retrospective analysis of the hospital from January 1999 to June 2008 Cesarean section line myomectomy 105 patients and the same period of cesarean section found uterine fibroids without excision of 90 patients with clinical data. Results: The operation time of hysteromyoma in cesarean section was significantly prolonged (P <0.05) and the amount of bleeding during operation was increased (P <0.05). However, there was no significant difference between the two groups in hemoglobin reduction and postoperative recovery (P > 0.05). Intraoperative uterine myomectomy patients were followed up for six months, ultrasound showed that uterine fibroids disappeared in 16 cases (17.8%), volume reduced more than 1/2 in 33 cases (36.7%), unchanged in 19 cases (21.1 %), Lost in 22 cases (24.4%). Conclusion: Obstetricians should be based on the specific circumstances of patients, cesarean section selective myomectomy.