妊娠合并子宫肌瘤剖宫产指征探讨.docVIP

妊娠合并子宫肌瘤剖宫产指征探讨 　　刘倩① 　　【摘要】 目的：探讨剖宫产术中行子宫肌瘤剔除术对妊娠结局的影响。方法：选取2008年2月-2013年10月在笔者所在医院收治的120例妊娠并子宫肌瘤产妇作为研究对象，按照随机数字表法将其分为对照组和观察组，每组60例。对照组患者单纯实施剖宫产术，观察组在实施剖宫产术的基础上，同时实施子宫肌瘤剔除术，并对两组患者的手术情况、术后并发症及围生儿情况进行比较。结果：观察组患者的手术时间明显长于对照组，差异有统计学意义（P0.05）。结论：对于妊娠合并子宫肌瘤的孕妇，同时行剖宫产术与子宫肌瘤剔除术并不会增加患者及新生儿损伤。 　　【关键词】 剖宫产术； 妊娠； 子宫肌瘤； 子宫肌瘤剔除术； 近期影响 　　中图分类号 R719 文献标识码 B 文章编号 1674-6805（2016）12-0025-02 　　Study on the Indication of Cesarean Section in Pregnancy Complicated with Uterine Myoma/LIU Qian.//Chinese and Foreign Medical Research，2016，14（12）：25-26 　　【Abstract】 Objective：To investigate the effect of myomectomy on pregnancy outcome during cesarean section.Method：One hundred and twenty pregnant women with uterine myoma admitted to our hospital from February 2008 to October 2013 were selected as research objects，and they were divided into the control group and the observation group according to the random number table method，60 cases in each group.The control group was only treated with cesarean section.On the basis of the implementation of cesarean section，the observation group was treated with myomectomy at the same time.The operation conditions，postoperative complications and perinatal conditions were compared between the two groups.Result：The operative time of the observation group was significantly longer than the control group，the difference was statistically significant（P0.05）.Conclusion：For pregnant women with uterine myoma，while the cesarean section and myomectomy don’t increase the injury of patients and neonates. 　　【Key words】 Cesarean section； Pregnancy； Uterine myoma； Myomectomy； Recent impact 　　First-author’s address：Xinwen Mining Refco Group Ltd Xiezhuang Coal Mine Hospital，Xintai 271221，China 　　doi：10.14033/j.cnki.cfmr.2016.12.013 　　子宫肌瘤作为女性生殖器官的常见疾病，主要是机体平滑肌细胞因增生而产生的，并含有少量的纤维组织[1]。虽然子宫肌瘤是良性肿瘤，可妇女在妊娠期合并有子宫肌瘤，会给孕产妇带来较大危害，危及母婴健康[2]。当前，临床对剖宫产术中实施子宫肌瘤剔除术还存有争议，笔者所在医院就120例妊娠期并子宫肌瘤患者的资料进行回顾性分析，以探讨剖宫产术中对患者实施子宫肌瘤剔除术的影响与效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取2008年2月-2013年1