剖宫产术同时行子宫肌瘤剔除术50例临床分析.docVIP

剖宫产术同时行子宫肌瘤剔除术50例临床分析 　　doi：10.3969/j.issn.1007-614x.2014.14.36 　　摘 要 目的：探讨剖宫产术同时行子宫肌瘤剔除术的可行性。方法：2010年1月-2014年1月收治剖宫产术同时行子宫肌瘤剔除术产妇50例。所有患者均采取行剖宫产同时行子宫肌瘤剔除进行治疗；同时收集同期单纯剖宫产术的产妇50例作为对照组进行比较。结果：观察组手术操作时间（65.5±2.2）分钟，出血量（310.9±53.5）ml，体温恢复时间（1.2±0.7）天，肛门排气时间（38.9±7.7）小时，住院时间（5.1±2.1）天，恶露干净时间（34.2±5.7）天；对照组手术操作时间（50.1±13.5）分钟，出血量（257.6±31.2）ml，体温恢复时间（1.1±0.5）天，肛门排气时间（32.1±5.）2小时，住院时间（5.6±2.1）天，恶露干净时间（32.3±5.5）天。两组患者在手术操作时间、出血量比较差异有统计学意义（P0.05）。结论：剖宫产术同时行子宫肌瘤剔除术是安全可行的，值得临床推广。 　　关键词 子宫肌瘤剔除术 剖宫产 临床意义 　　Clinical analysis of 50 cases implementation cesarean and myomectomy surgery at the same time 　　Yang Yi 　　Department of Obstetrics and Gynecology of Huaxin Hospital in Weihui City，Henan Province，453100 　　Abstract Objective：To investigate the feasibility of implementation cesarean and myomectomy surgery at the same time.Methods：50 puerpera implementation cesarean and myomectomy surgery at the same time admitted from January 2010 to January 2014.All patients were taken simultaneously cesarean myomectomy for treatment.While collect 50 cases of mere maternal cesarean section as a control group at the same period.Results：The operative time in observation group is 65.5±2.2 minutes；the amount of bleeding is 310.9±53.5ml；temperature recovery time is 1.2±0.7 days flatus time is 38.9±7.7 hours；length of stay is 5.1±2.1 days；the lochia clean time is 34.2±5.7 days.In the control group，operative time is 50.1±13.5 minutes；the amount of bleeding is 257.6±31.2ml；temperature recovery time is 1.1±0.5 days；flatus time is 32.1±5.2 hours；length of stay is 5.6±2.1 days；the lochia clean time is 32.3±5.5 days.There are significant difference on the surgical operation time and bleeding between two groups（P0.05）.Conclusion：Cesarean section simultaneously myomectomy is feasible and safe，worthy of promotion. 　　Key words Myomectomy；Cesarean section；Clinical significance 　　子宫肌瘤是女性的常见病、多发病，随着近年来高龄产妇的增加以及超声技术的广泛使用，妊娠合并子宫肌瘤的发生率不断升高。目前，关于如何处理妊娠及子宫肌瘤方面存在较大的争议[1]。有人认为需要终止妊娠，手术治疗子宫肌瘤，也有人认为，到妊娠结束进行剖宫产