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目的 探讨剖宫产术中核除子宫肌瘤之可行性及术式的选择。方法 选择 2 0 0 1年 9月至 2 0 0 2年 9月 4 1例妊娠合并子宫肌瘤在剖宫产同时核除肌瘤组为病例组 ,取同期单纯剖宫产 30例为对照组 ,进行病例对照回顾性分析 ,分析因素包括 :年龄、术中失血量、术前术后血红蛋白 (Hb)变化程度、术后体温升高天数、住院天数及术后子宫复旧情况。结果两组间在各因素上的差异都没有统计学意义。结论 在选择正确术式及术后合理用药的前提下 ,剖宫产术中核除子宫肌瘤完全可行。
Objective To investigate the feasibility of removing uterine fibroids during cesarean section and the choice of surgical procedures. Methods Select September 2001 to September 2002 41 cases of pregnancy with uterine fibroids in the cesarean section while nuclear fibroids group as the case group, take the same period of 30 cases of simple cesarean section as the control group , And analyzed retrospectively by case control. The factors of analysis included age, intraoperative blood loss, degree of preoperative and postoperative hemoglobin (Hb) changes, postoperative body temperature increase days, hospitalization days and postoperative uterine involution. Results There were no significant differences in the factors between the two groups. Conclusion Under the premise of choosing the correct surgical procedure and reasonable medication, it is feasible to remove uterine fibroids in cesarean section.