摘要
目的探讨剖宫产同时行子宫肌瘤剔除术的安全性及可行性。方法回顾性分析151例剖宫产同时行子宫肌瘤剔除术患者及同期174例妊娠未合并子宫肌瘤仅行剖宫产术患者的临床资料。结果剖宫产同时剔除子宫肌瘤组在年龄、术中宫缩剂的使用较对照组有显著性差异(P<0.01)。但两组患者在住院天数、手术时间、术中出血、术后血红蛋白下降、术后红细胞比容(HCT)下降及术后恢复均无明显差异。结论根据患者的情况,由有经验的产科医师在剖宫产同时剔除子宫肌瘤并不增加手术风险,是安全可行的。
Objective To discuss the safety and feasibility of C-section concurrent with myomectomy. Method Clinical data of 151 patients undergo- ing C-section and myomectomy as well as 174 patients in pregnancy without uterine fibroids who only underwent C-section of Beijing Obstetrics Gyne- cology Hospital were analyzed retrospectively. Result The group that underwent both C-section and myomectomy was different than the control group in respects of age, puerperal morbidity, and the use of contractions agents during the operation （ P 〈 0.05）. But there was no significant differences in hospitalization days, operation duration, blood loss, decrease in postoperative hemoglobin, decrease in the volume of postoperative hemoglobin, and postoperative recovery between the two groups of patients. Conclusion It will not increase the surgical risk if myomectomy and C-section are performed at the same time by experienced obstetricians according to patient＇s situation, which is safe and feasible.
出处
《中国病案》
2012年第8期74-75,共2页
Chinese Medical Record
