摘要
目的：探讨对妊娠合并子宫肌瘤患者在剖宫产术中同时行肌瘤剔除术的可行性和安全性。方法：回顾性分析2007年1月~2009年12月我院妊娠合并子宫肌瘤80例在剖宫产术中同时行肌瘤剔除术患者的临床资料,选择同期无任何并发症的正常剖宫产患者80例为对照组,统计两组在术中平均出血量、术后24小时出血量、手术前后HGB差值、子宫复旧情况。结果：观察组与对照组各项观察指标比较差异均无统计学意义。结论：在病例选择合适、手术方法得当的情况下,剖宫产术中同时行肌瘤剔除术是安全可行的。对于肌壁间较大肌瘤直径（5~8 cm）在应用缩宫素联合米索前列醇、葡萄糖酸钙同时行子宫下段环扎后,可以在剖宫产术中安全剔除。
Objective：To explore the safety and feasibility of myomectomy in pregnant women with hysteromyoma during cesarean sections.Methods：80 pregnant women with hysteromyoma received myomectomy during cesarean sections were reviewed and compared with 80 pregnant women of simple cesarean sections,in aspects of average intraoperative bleeding volume,bleeding volume within 24 h after operation,change of HGB before and after operation,and involution of uterus.Results：The various indexes had no significant difference between the two groups.Conclusion：Myomectomy in pregnant women during cesarean sections is safe and feasible by selecting eligible cases and operation modes.And myomectomy in pregnant women with larger intramural myoma（diameter 5~8 cm） is safe after using oxytocin,misoprostol,calcium gluconate and performing the cerclage of inferior uterus.
出处
《现代医药卫生》
2011年第3期339-341,共3页
Journal of Modern Medicine & Health
