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目的探讨妊娠并发子宫肌瘤患者剖宫产术中行子宫肌瘤剔除术的可行性。方法采用回顾性分析的方法对58例妊娠并发子宫肌瘤患者施行肌瘤剔除术,对照组为同期42例剖宫产时肌壁间肌瘤未行剔除者,比较两组对象的术中出血量、手术时间、产后24 h内阴道出血量及产褥病率。部分对象随访至产后2年。结果两组对象的术中出血量、手术时间、产后24 h内阴道出血量及产后3日内体温差异均无统计学意义。随访至产后2年,剖宫产术时行子宫肌瘤剔除术,患者产后子宫肌瘤的复发率及子宫切除率均低于对照组。结论选择风险性小的妊娠并发子宫肌瘤患者在剖宫产术时行子宫肌瘤剔除术是安全可行的,并可减少患者再次手术的痛苦及风险。
Objective To investigate the feasibility of myomectomy in cesarean section in pregnancy complicated with uterine fibroids. Methods A retrospective analysis of 58 cases of pregnancy complicated with uterine fibroids myomectomy patients in the control group for the same period 42 cases of intramural fibroids were not excluded when the cesarean section bleeding were compared between the two groups Volume, operation time, vaginal bleeding within 24 h postpartum and puerperal morbidity. Some patients were followed up to 2 years after delivery. Results There was no significant difference in intraoperative blood loss, operation time, vaginal bleeding within 24 hours after delivery and body temperature within 3 days after delivery in both groups. Follow-up to 2 years postpartum, cesarean section at the time of myomectomy, postpartum uterine fibroids recurrence rate and hysterectomy rates were lower than the control group. Conclusions The selection of patients with small risk of pregnancy complicated with uterine fibroids during cesarean section in myomectomy is safe and feasible, and reduce the pain and risk of reoperation patients.