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目的探讨剖宫产术中同时行子宫肌瘤切除术的可行性。方法回顾性分析解放军第91中心医院2013~2014年剖宫产术中同时行子宫肌瘤切除术75例患者的临床资料。将肌瘤直径≥4 cm的23例设为观察组,肌瘤直径<4 cm的52例设为对照组,比较两组手术时间,术中出血量,平均住院日,恶露干净时间。结果观察组手术时间[(55.35±13.06)min]长于对照组[(43.33±12.52)min](P<0.05);术中出血量分别为[(281.32±51.13)m L、(280.35±51.26)m L]、平均住院日分别为[(5.25±1.81)d、(5.23±1.63)d]、恶露干净时间分别为[(35.28±1.78)d、(35.32±1.81)d],两组比较差异均无统计学意义(P>0.05)。结论妊娠合并子宫肌瘤的患者,病情平稳,剖宫产术中宫缩良好,剖宫产同时行肌瘤切除术是安全可行的。
Objective To investigate the feasibility of concurrent cystectomy in cesarean section. Methods The clinical data of 75 patients undergoing myomectomy in the 91st Central Hospital of PLA from 2013 to 2014 were analyzed retrospectively. Twenty-three patients with fibroids> 4 cm in diameter were enrolled in the observation group. Fifty-two patients with fibroids less than 4 cm in diameter were selected as control group. The operation time, intraoperative blood loss, average length of stay, and lochia clean time were compared between the two groups. Results The operation time in the observation group was (55.35 ± 13.06) min longer than that in the control group (43.33 ± 12.52) min (P <0.05). The intraoperative blood loss were (281.32 ± 51.13) m L and (280.35 ± 51.26) (5.25 ± 1.81) d and (5.23 ± 1.63) d, respectively. The average time of hospitalization was (35.28 ± 1.78) days and (35.32 ± 1.81 days) respectively. There was significant difference between the two groups No statistical significance (P> 0.05). Conclusion Pregnancy with uterine fibroids in patients with stable disease, good contractions during cesarean section, cesarean section at the same time myomyctomy is safe and feasible.