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目的研究妊娠合并子宫肌瘤患者剖宫产术中同时予肌瘤剔除的临床效果,探讨妊娠合并子宫肌瘤的最佳手术方式。方法选取2005年1月至2010年12月于泌阳县人民医院进行治疗的50例妊娠合并子宫肌瘤患者为观察组,行剖宫产同时子宫肌瘤剔除术。另取60例行单纯剖宫产患者为对照组。比较两组患者平均出血量、术后平均住院时间、产褥病率及术后并发症发生率。结果两组患者平均出血量、术后平均住院时间、产褥病率、术后并发症发生率比较差异无统计学意义。结论妊娠合并子宫肌瘤患者在剖宫产术中剔除肌瘤损伤相对较小,治疗效果好,值得在妊娠合并子宫肌瘤患者治疗中广泛推广应用。
Objective To study the clinical efficacy of cesarean section in pregnancy with uterine fibroids in patients with myomectomy at the same time, to explore the best surgical treatment of uterine fibroids during pregnancy. Methods From January 2005 to December 2010 in Biyang County People’s Hospital for treatment of 50 cases of pregnant women with uterine fibroids in the observation group underwent cesarean section at the same time myomectomy. Another 60 cases of simple cesarean section for the control group. The average amount of bleeding, the average postoperative hospital stay, the incidence of puerperal and the incidence of postoperative complications were compared between the two groups. Results The average amount of bleeding, average postoperative hospital stay, puerperal morbidity and postoperative complications were not significantly different between the two groups. Conclusion Pregnancy with uterine fibroids in cesarean section in patients with fibromuscular lesion is relatively small, the treatment effect is good, it is worth widely used in the treatment of patients with uterine fibroids during pregnancy.