[摘要] 目的 探讨妊娠合并子宫肌瘤剖宫产术中同时行子宫肌瘤剥除术的安全性及可行性。方法 回顾分析58例剖宫产术中行肌瘤剥除者并与同期58例单纯剖宫产者比较,观察比较手术时间、术中出血、术后恶露持续时间、住院时间。结果 术后恶露持续时间、住院时间两组之间无差异(P>0.05),而手术时间观察组明显长于对照组、术中出血观察组多于对照组(P<0.05)。结论 剖宫产同时行子宫肌瘤剥除术是安全可行的。

    [关键词] 妊娠; 剖宫产术; 子宫肌瘤; 肌瘤剥除术

    [中图分类号] R737.33 [文献标识码] A [文章编号] 1673-9701(2009)23-36-02

    Myomectomy Performed during Cesarean Section:A Clinical Analysis of 58 Cases

    WANG Li1 ZHOU Xine2

    1.Pengzhou Maternal and Child Health Care Hospital,Sichuan 611930;2.Chengdu Obstetrics and Gynecology Hospital,Chengdu 610015,China

    [Abstract] ObjectiveTo study the safety and feasibility of moymectomy in pregnant women with hysteromyoma during cesarean section. MethodsRetrospective analysis was 58 pregnant women with hysteromyoma received moymectomy in the process of cesarean section in our hospital,which were compared with 58 pregnant women with simple cesarean section. ResultsThere was no significant difference in lochia duration,days inpatient after operation between hysterectomy group and simple cesarean section group(P>0.05). There was significant difference in hemorrhage of operation and time spending on operation between moymectomy group and simple cesarean section group(P<0.05).ConclusionRemoving hystermyoma when performing cesarean section is possible. ......