摘要
目的:探讨妊娠合并子宫肌瘤病人在剖宫产同时肌瘤剔除术的可行性、安全性.方法:回顾性分析1998～2002年间剖宫产同时肌瘤剔除术90例病人术前、术中诊断,术中所见,手术方式,术后病率.结果:术中平均出血320 ml,≥500 ml者6例;无新生儿窒息、无围生儿死亡;术后病理诊断90例均为子宫平滑肌瘤,20例有肌瘤变性;术后病率7.78%,切口感染3例,乳腺炎2例,子宫复旧不全2例,无产后出血及盆腔感染.结论:剖宫产同时行肌瘤剔除术是可行的、安全的、必要的.
Objective： To explore the feasibility and safety of myomectomy during cesarean section. Methods： The preoperative and intraoperative diagnosis, intraoperative findings, surgical management, postoperative morbidity of 90 patients accepted myomectomy during cesarean section from 1998 to 2002 were retrospectively analyzed. Results： The average of intraoperative hemorrhage was 320 ml while that of 6 cases was≥ 500 ml, no asphyxia neonatorum, no perinatal death ; all cases were diagnosed as fibroid uterus by postoperative pathologic findings, 20 cases had degeneration of myoma, postoperative morbidity was 7. 78%, 3 cases infection of incisional wound, 2 cases mastitis, 2 cases subinvolution, no postpartum hemorrhage and infection of pelvic. Conclusion： Myomectomy during cesarean section is feasible, safe and necessary.
出处
《中国妇幼保健》
CAS
北大核心
2005年第17期2166-2167,共2页
Maternal and Child Health Care of China
关键词
剖宫产
子宫肌瘤
剔除术
Cesarean section
Myoma of uterus
Myomectomy
