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目的探讨剖宫产术中子宫肌瘤剔除术的可行性、安全性。方法回顾分析120例剖宫产术中同时行子宫肌瘤剔除者术中、术后情况并与同期单纯子宫下段剖宫产比较,观察手术时间、术中及术后24h出血量,手术前后Hb差值、术后并发症、住院天数。结果两组患者术中、术后24h出血量、术后并发症、住院天数差异均无统计学意义(P>0.05);手术时间观察组明显长于对照组(P<0.05)。结论剖宫产同时行肌瘤剔除术是可行的、安全的、必要的。
Objective To investigate the feasibility and safety of myomectomy in cesarean section. Methods Retrospective analysis of 120 cases of cesarean section in patients with myomectomy at the same time, postoperative and compared with the same period of simple lower uterine segment cesarean section, observation of operative time, intraoperative and postoperative 24h bleeding, Hb before and after surgery Difference, postoperative complications, hospitalization days. Results There was no significant difference in intraoperative and postoperative 24h blood loss, postoperative complications and length of hospital stay between the two groups (P> 0.05). The operation time in the observation group was significantly longer than that in the control group (P <0.05). Conclusion Cesarean section concurrent myomyctomy is feasible, safe and necessary.