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目的探讨剖宫产并剔除术用于妊娠并子宫肌瘤红色变性对母婴结局的影响。方法将348例妊娠并子宫肌瘤红色变性患者随机分为A、B、C 3组各116例。A组行剖宫产并肌瘤剔除术,B组行剖宫产,C组经阴道分娩。比较3组患者的母婴结局。结果 A组和B组患者术中出血量差异无统计学意义(P>0.05),但均低于C组(P<0.05);3组间的产褥病率和恶露干净时间差异无统计学意义(P>0.05);经远期随访,A组肌瘤存在及月经异常率均低于B组和C组(P<0.05)。3组新生儿窒息、胎儿窘迫、低体重儿发生率差异无统计学意义(P>0.05)。结论剖宫产并剔除术用于妊娠并子宫肌瘤红色变性的治疗,可以降低产妇术后肌瘤的存在率,月经异常率,值得推广应用。
Objective To investigate the effect of cesarean section and excision on maternal and infant outcomes in pregnant and uterine fibroids. Methods 348 cases of pregnant women with red degeneration of uterine fibroids were randomly divided into A, B, C group of 116 cases. A group of cesarean section and myomectomy, B group cesarean section, C group vaginal delivery. Maternal and infant outcomes were compared between the 3 groups. Results There was no significant difference in intraoperative blood loss among group A and group B (all P> 0.05), but both were lower than those in group C (P <0.05). There was no significant difference in the rate of puerperal and lochia between the three groups Significance (P> 0.05). After long-term follow-up, the abnormality of myoma and abnormal menstruation in group A were lower than those in group B and C (P <0.05). There was no significant difference in the incidence of neonatal asphyxia, fetal distress and low birth weight between the three groups (P> 0.05). Conclusion Cesarean section and excision for the treatment of red degeneration of pregnancy and uterine fibroids can reduce the postoperative maternal fibroids, the incidence of abnormalities, should be widely applied.