剖宫产术中对子宫肌瘤的处理方案研究.docVIP

剖宫产术中对子宫肌瘤的处理方案研究 　　[摘要] 目的 研究妊娠合并子宫肌瘤患者进行剖宫产手术中对子宫肌瘤的合理处理方案。 方法 选取在我院就诊的100例足月妊娠合并子宫肌瘤的患者进行分析，根据患者的不同情况分为单纯剖宫产术组、剖宫产合并子宫肌瘤剔除术组、剖宫产合并子宫次全切除术组，观察并比较三组患者手术情况、术后疾病复发及满意度情况。 结果 经方差分析显示，三组产妇在年龄、手术时间、术后出血量方面有显著差异（P0.05）；经组间两两分析比较，剖宫产合并子宫次全切除术组产妇的平均年龄明显大于单纯剖宫产手术组和剖宫产合并子宫肌瘤剔除术组（P0.05）；剖宫产合并子宫肌瘤剔除术组和剖宫产合并子宫次全切除术组的平均手术时间均明显长于单纯剖宫产手术组（P0.05）；剖宫产合并子宫次全切除术组的平均术后出血量明显少于单纯剖宫产手术组和剖宫产合并子宫肌瘤剔除术组（P0.05）；剖宫产合并子宫肌瘤剔除术组和剖宫产合并子宫次全切除术组患者的总满意度均明显高于单纯剖宫产手术组（P0.05）。 结论 对于妊娠合并子宫肌瘤的患者，要根据子宫肌瘤大小、位置、数目、良恶性情况以及患者意愿采取不同处理方案，临床研究证实，剖宫产合并子宫肌瘤剔除术的实施较为安全，患者满意度高。 　　[关键词] 妊娠合并子宫肌瘤；剖宫产手术；子宫肌瘤 　　[中图分类号] R719.8；R737.33 [文献标识码] B [文章编号] 2095-0616（2015）20-64-04 　　Study on treatment scheme of hysteromyoma during cesarean section 　　WANG Shixiang 　　Department of Gynecology and Obstetrics， Suichuan County TCM Hospital， Suichuan 343900， China 　　[Abstract] Objective To study the reasonable treatment scheme of hysteromyoma during cesarean section in patients with pregnancy combined hysteromyoma. Methods 100 patients with term pregnancy combined hysteromyoma， who were visited in our hospital， were selected and were analyzed， and were divided into single cesarean section group， cesarean section combined uterine myomectomy group， and cesarean section combined subtotal hysterectomy group according to different patients situations. To observe and compare the patients operative situation， the postoperative disease recurrence situation， and the satisfaction between the three groups. Results The variance analysis showed that， the differences of the puerpera age， the operation time， and the postoperative bleeding volume of the three groups were statically significant（P0.05）. The analysis and comparison between any two groups among the three groups showed that， the average puerpera age in cesarean section combined subtotal hysterectomy group was obviously older than which in the other two groups（P 　　[Key words] Pregnancy combined hysteromyoma； Cesarean section； Hysteromyoma 　　子宫肌瘤为女性生殖器官常见肿瘤之一，属于良性肿瘤，临床上常采用手术切除的方法达到