妊娠合并子宫肌瘤临床诊治及剖宫产术同时行子宫肌瘤剔除术可行性分析.docVIP

妊娠合并子宫肌瘤临床诊治及剖宫产术同时行子宫肌瘤剔除术可行性分析 　　[摘要] 目的 探讨妊娠合并子宫肌瘤的临床诊治及剖宫产术同时行子宫肌瘤剔除术的可行性分析。 方法 整群选取2012年10月―2014年10月期间来该院就诊并接收治疗的98例妊娠合并子宫肌瘤的患者，随机分为观察组和对照组，每组49例。对观察组患者行剖宫产术的同时进行子宫肌瘤剔除术进行治疗，术后定期随访，对对照组患者则先采用剖宫产手术，术后依据患者恢复情况择期行子宫肌瘤剔除术进行治疗，对比观察2组患者的临床疗效、可行性和安全性。结果 观察组患者的手术时间显著性长于对照组患者（P=0.026，P0.05）。结论 对妊娠合并子宫肌瘤的患者行剖宫产术的同时采用子宫肌瘤剔除术进行治疗，能够有效的剔除子宫肌瘤，安全性可靠，值得临床推广使用。 　　[关键词] 妊娠合并子宫肌瘤；剖宫产术；子宫肌瘤剔除术；可行性 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）07（a）-0001-04 　　[Abstract] Objective To investigate the clinical diagnosis of pregnant women with uterine fibroids and the feasibility analysis of cesarean section simultaneously myomectomy. Methods Group selection 98 pregnant women with uterine fibroids were treated in our hospital from October 2012 to October 2014. The patients were randomly divided into observation group and control group， with 49 cases in each group. Patients in observation group were given cesarean section simultaneouslymyomectomy， while the patients in control group were given cesarean section firstly， and thenchoose the time to give myomectomy for treatment ， all patients were regular follow-up at postoperative. The comparisons of clinical efficacy， safty and feasibility were undergone between two groups. Results The operation time of observation group were significantly prolonged than of control group（P0.05）. Conclusion For pregnant patients with uterine fibroids，usingcesarean section simultaneously myomectomy can effectively eliminate uterine fibroids， and it is security and reliable，which is worth further clinical application. 　　[Key words] Pregnant women with uterine fibroids； Cesarean section； Myomectomy； Feasibility observation 　　子宫肌瘤在临床上又被称之为子宫纤维瘤或者纤维肌瘤，是常见的妇科疾病之一[1]。该病常发于30～50岁的女性中，据流行病学调查研究发现，妊娠产妇中约有0.3%～0.5%的患者合并有子宫肌瘤[2-3]，且临床上发现，该病的发病率呈逐年上升的趋势[4-5]。由于妊娠期合并子宫肌瘤患者的特殊性，子宫肌瘤会增加产妇胎盘的粘连以及产后的出血量，对患者的生命健康以及生活质量均会造成严重的影响，所以，对合并有子宫肌瘤的妊娠患者的治疗研究具有重要的临床意义和社会意义[6]。近年来，随着医疗技术的不断发展，剖宫产率越来越高，在临床上，对与妊娠合并子宫肌瘤患者的治疗主要是手术治疗，其中临床应用最广的是子宫肌瘤剔除术[7]，但就剖宫产术中是否能同时行子宫肌瘤剔除术同时治疗还存在争