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目的探索子宫下段剖宫产术同时行子宫肌瘤切除术的可行性。方法 65例妊娠并发子宫肌瘤患者实施子宫下段剖宫产术同时行子宫肌瘤切除术作为观察组;同期65例行单纯子宫下段剖宫产术的产妇作为对照组,对两组的手术时间、手术前后血红蛋白差值、产后出血及产褥感染的发生率进行比较。结果观察组患者手术时间明显长于对照组,术中出血量大于对照组,差异有统计学意义(P<0.05);两组血红蛋白下降值比较差异有统计学意义(P<0.05)。结论剖宫产同时施予子宫肌瘤切除术临床疗效极佳,手术安全性高,可极大地避免、降低患者再次手术治疗几率,具有可行性。
Objective To explore the feasibility of cesarean section undergoing uterine fibroids resection at the same time. Methods 65 cases of pregnancy complicated with uterine fibroids underwent uterine fibroids underwent cesarean section resection at the same time as the observation group; 65 cases of simple lower uterine segment cesarean section as the control group, the operation time of the two groups , Hemoglobin difference before and after surgery, postpartum hemorrhage and puerperal infection were compared. Results The operation time of the observation group was significantly longer than that of the control group, and the amount of bleeding during the operation was larger than that of the control group (P <0.05). There was significant difference between the two groups in the hemoglobin decrease (P <0.05). Conclusion cesarean section at the same time give hysterectomy myomectomy excellent clinical efficacy, high surgical safety, which can be greatly avoided, reducing the chance of reoperation in patients with the feasibility of feasibility.