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目的探讨剖宫产同时剔除子宫肌瘤的安全性及可行性。方法回顾性分析仙游县妇幼保健院108例剖宫产同时剔除子宫肌瘤(研究组)及110例单纯剖宫产(对照组)的临床资料。结果研究组平均手术时间(50±9)min比对照组(35±5)min长,但术中出血量、术后排气时间、术后住院时间、术后并发症等与对照组类似;108例均为子宫平滑肌瘤,肌瘤变性28例(25.9%)。结论对于有经验的产科医生,剖宫产同时剔除子宫肌瘤安全可行,可避免患者短期再次手术,值得推广。
Objective To explore the safety and feasibility of removing uterine fibroids from cesarean section. Methods The clinical data of 108 cases of uterine fibroids (study group) and 110 cases of simple cesarean section (control group) in Xiaoyao MCH hospital were retrospectively analyzed. Results The average operation time (50 ± 9) min in the study group was longer than that in the control group (35 ± 5) min, but the intraoperative blood loss, postoperative exhaust time, postoperative hospital stay and postoperative complications were similar to those in the control group. 108 cases were uterine leiomyomas, myoma degeneration in 28 cases (25.9%). Conclusion For experienced obstetricians, cesarean section while excluding uterine fibroids safe and feasible to avoid patients with short-term re-surgery, it is worth promoting.