妊娠合并子宫肌瘤行剖宫产术中肌瘤切除的临床疗效分析(1)
摘 要：目的 探讨剖宫产术联合子宫肌瘤切除术治疗妊娠合并子宫肌瘤的临床疗效。方法 选择2015年6月～2017年6月我院收治的妊娠合并子宫肌瘤患者46例为研究对象，随机分为两组，对照组行剖宫产术治疗，观察组行剖宫产术联合子宫肌瘤切除术治疗，对比两组的手术时间、宫缩素用量、术中出血量、恶露干净时间、住院时间情况。结果 观察组的手术时间、宫缩素用量高于对照组，术中出血量、恶露干净时间、住院时间高于对照组，观察组的并发症发生率高于对照组，对比差异均存在统计学意义(P<0.05)。结论 剖宫产术联合子宫肌瘤切除术治疗妊娠合并子宫肌瘤的应用效果显著，可改善症状和生活质量，也可缩短治疗时间，避免二次手术，提高治疗效果，值得应用。
关键词：妊娠;子宫肌瘤;剖宫产术;肌瘤切除
中图分类号：R719.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.032
, 百拇医药
文章编号：1006-1959(2018)05-0098-03
Clinical Analysis of Myoma Resection during Cesarean Section for Pregnancy Complicated with Uterine Leiomyoma
LIU li
(Department of Obstetrics and Gynecology，Yingkou City Maternity and Child Hospital，Yingkou 115000，Liaoning，China)
Abstract：Objective To investigate the clinical effect of cesarean section combined with hysteromyomectomy in the treatment of pregnancy complicated with uterine leiomyoma.Methods 46 cases of pregnancy complicated with uterine leiomyoma from June 2015 to June 2017 were randomly divided into two groups.The control group underwent cesarean section treatment，the observation group underwent cesarean section combined with uterine myoma resection，compared the operation time， two groups of oxytocin dosage，the amount of intraoperative bleeding，lochia time，hospitalization time.Results The operative time，the amount of oxytocin was higher than the control group，the amount of intraoperative bleeding，lochia time，hospitalization time was higher than the control group，the complication rate of observation group was higher than the control group，there were statistically significant differences(P<0.05).Conclusion Cesarean section combined with myomectomy is effective in the treatment of pregnancy with uterine fibroids.It can improve symptoms and quality of life，shorten the treatment time，avoid the two operation and improve the therapeutic effect，which is worthy of application.
, 百拇医药
Key words：Pregnancy;Uterine leiomyoma;Cesarean section;Myomectomy
子宮肌瘤(hysteromyoma)又称为子宫平滑肌瘤，是临床上一种常见的良性肿瘤，也是一种典型的女性生殖系统良性肿瘤病症，该疾病的发生与孕期子宫平滑肌组织、孕激素水平、雌激素水平的异常有着紧密的联系，年龄多见于30～50岁，发病率达到30%。妊娠合并子宫肌瘤的早期症状较不明显，肌瘤小时，不易引起患者的注意，一旦出现症状，易导致流产;胎位不正;分娩时会影响子宫正常收缩，导致产程延长等并发症。妊娠合并子宫肌瘤行阴道分娩风险性较高，肌瘤一旦破裂需要手术切除子宫，因此难以被患者接受。有研究报道称，临床上给予妊娠合并子宫肌瘤患者实施剖宫产术联合子宫肌瘤切除术的效果显著[1，2]。本文为探讨2015年6月～2017年6月我院收治的妊娠合并子宫肌瘤患者46例，行剖宫产术联合子宫肌瘤切除术的效果，现报道如下。, http://www.100md.com(刘丽)
关键词：妊娠;子宫肌瘤;剖宫产术;肌瘤切除
中图分类号：R719.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.05.032
, 百拇医药
文章编号：1006-1959(2018)05-0098-03
Clinical Analysis of Myoma Resection during Cesarean Section for Pregnancy Complicated with Uterine Leiomyoma
LIU li
(Department of Obstetrics and Gynecology，Yingkou City Maternity and Child Hospital，Yingkou 115000，Liaoning，China)
Abstract：Objective To investigate the clinical effect of cesarean section combined with hysteromyomectomy in the treatment of pregnancy complicated with uterine leiomyoma.Methods 46 cases of pregnancy complicated with uterine leiomyoma from June 2015 to June 2017 were randomly divided into two groups.The control group underwent cesarean section treatment，the observation group underwent cesarean section combined with uterine myoma resection，compared the operation time， two groups of oxytocin dosage，the amount of intraoperative bleeding，lochia time，hospitalization time.Results The operative time，the amount of oxytocin was higher than the control group，the amount of intraoperative bleeding，lochia time，hospitalization time was higher than the control group，the complication rate of observation group was higher than the control group，there were statistically significant differences(P<0.05).Conclusion Cesarean section combined with myomectomy is effective in the treatment of pregnancy with uterine fibroids.It can improve symptoms and quality of life，shorten the treatment time，avoid the two operation and improve the therapeutic effect，which is worthy of application.
, 百拇医药
Key words：Pregnancy;Uterine leiomyoma;Cesarean section;Myomectomy
子宮肌瘤(hysteromyoma)又称为子宫平滑肌瘤，是临床上一种常见的良性肿瘤，也是一种典型的女性生殖系统良性肿瘤病症，该疾病的发生与孕期子宫平滑肌组织、孕激素水平、雌激素水平的异常有着紧密的联系，年龄多见于30～50岁，发病率达到30%。妊娠合并子宫肌瘤的早期症状较不明显，肌瘤小时，不易引起患者的注意，一旦出现症状，易导致流产;胎位不正;分娩时会影响子宫正常收缩，导致产程延长等并发症。妊娠合并子宫肌瘤行阴道分娩风险性较高，肌瘤一旦破裂需要手术切除子宫，因此难以被患者接受。有研究报道称，临床上给予妊娠合并子宫肌瘤患者实施剖宫产术联合子宫肌瘤切除术的效果显著[1，2]。本文为探讨2015年6月～2017年6月我院收治的妊娠合并子宫肌瘤患者46例，行剖宫产术联合子宫肌瘤切除术的效果，现报道如下。, http://www.100md.com(刘丽)