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目的:探讨妊娠合并子宫肌瘤对妊娠与分娩的影响,及剖宫产同时行子宫肌瘤剔除术的可行性。方法:回顾性分析63例妊娠合并子宫肌瘤患者的临床资料,并作为观察组,同时随机选择同期分娩无子宫肌瘤的60例孕妇为对照组,观察分娩及术后情况。结果:观察组并发症明显多于对照组,两组比较差异有统计学意义(P<0.05)。观察组剖宫产率显著高于对照组(P<0.05)。剖宫产同时行肌瘤剔除术的手术时间及术后出血量无明显增加(P>0.05)。结论:妊娠合并子宫肌瘤的并发症及剖宫产率增多,剖宫产同时行肌瘤剔除术是安全可行的。
Objective: To investigate the impact of pregnancy with uterine fibroids on pregnancy and childbirth, and cesarean section at the same time the feasibility of myomectomy. Methods: A retrospective analysis of 63 cases of pregnancy with uterine fibroids in patients with clinical data, and as the observation group, while randomly selecting the same period of birth without uterine fibroids 60 pregnant women as the control group, observation of labor and postoperative conditions. Results: The complications in the observation group were significantly more than those in the control group. There was significant difference between the two groups (P <0.05). Cesarean section rate in observation group was significantly higher than that in control group (P <0.05). Cesarean at the same time line myomectomy operation time and postoperative bleeding no significant increase (P> 0.05). Conclusion: Complications of pregnancy complicated with uterine fibroids and cesarean section rate increase, cesarean section at the same time myomectomy is safe and feasible.