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目的探讨妊娠合并子宫肌瘤剖宫产术中同时行子宫肌瘤剔除术的安全性及可行性。方法对2004年1月至2006年12月住院分娩的319例妊娠合并子宫肌瘤剖宫产术中行子宫肌瘤剔除术的病例进行回顾性分析,并与同期74例妊娠合并子宫肌瘤单纯剖宫产术比较,观察比较两者手术时间、术中出血、产褥病率。结果剖宫产+肌瘤剔除术与单纯剖宫产术相比,两者术中出血量、产褥病率无显著性差异(P>0.05),剖宫产+肌瘤剔除术手术时间明显长于单纯剖宫产术(P<0.05)。结论在病例选择合适的情况下,剖宫产中行子宫肌瘤剔除术是安全可行的。
Objective To investigate the safety and feasibility of concurrent uterine myomectomy in pregnancy with uterine fibroids. Methods A retrospective analysis of 319 cases of uterine myomectomy in cesarean section with cesarean section during January 2004 to December 2006 hospitalized for delivery was performed and compared with 74 cases of simple myomectomy Palace surgery comparison, observation and comparison of the two operation time, intraoperative bleeding, puerperal morbidity. Results Cesarean section and myomectomy compared with simple cesarean section, there was no significant difference in intraoperative blood loss and puerperal morbidity between the two groups (P> 0.05), cesarean section and myomectomy time was significantly Longer than simple cesarean section (P <0.05). Conclusion In the case of appropriate choice, cesarean section line myomectomy is safe and feasible.