摘要
目的研究晚期妊娠合并子宫肌瘤患者采用剖宫产术联合子宫肌瘤剔除术治疗的临床效果。方法选择2017年10月至2019年10月在本院分娩的82例晚期妊娠合并子宫肌瘤患者作为研究对象,采用随机数字表法分成对照组和治疗组,每组41例。对照组采用剖宫产术后择期子宫肌瘤剔除术进行治疗;治疗组采用剖宫产术联合子宫肌瘤剔除术进行治疗。对比两组恶露完全排净时间、住院治疗总时间、不良反应情况、对分娩和治疗的满意度、治疗总有效率。结果治疗组恶露完全排净时间和住院治疗总时间短于对照组,差异有统计学意义(P<0.05);治疗组不良反应发生率低于对照组,差异有统计学意义(P<0.05);治疗组对分娩和治疗的满意度为95.1%,高于对照组的82.9%,差异有统计学意义(P<0.05);治疗组治疗总有效率为90.2%,高于对照组的70.7%,差异有统计学意义(P<0.05)。结论晚期妊娠合并子宫肌瘤患者采用剖宫产术联合子宫肌瘤剔除术治疗,能够显著缩短恶露排净时间和住院时间,降低不良反应的发生率,提升疾病治疗效果、患者满意度。
Objective To study the clinical effect of cesarean section combined with hysteromyoma removal in patients with advanced pregnancy and uterine fibroids. Methods 82 patients with advanced uterine fibroids who were delivered in our hospital were selected as the study subjects.The patients were divided into the control group and the treatment group by random number table method, with 41 cases in each group. The control group was treated with elective uterine fibroids after cesarean section. The treatment group was treated with cesarean section combined with hysteromyoma removal. The total cleansing time and total hospitalization time, adverse reactions, satisfaction with delivery and treatment plan, and total effective treatment were compared between the two groups. Results The total time of cleansing and the total time of hospitalization in the treatment group were shorter than those in the control group, which was statistically significant(P<0.05). The incidence of adverse reactions in the treatment group was less than that in the control group, and the difference was statistically significant(P<0.05). Satisfaction with delivery and treatment plan reached in the treatment group was 95.1%, which was higher than 82.9% of the control group, which was statistically significant difference(P<0.05). The total effective rate of treatment reached 90.2%, which was higher than 70.7% of the control group, which was statistically significant difference(P<0.05). Conclusion In patients with advanced pregnancy and uterine fibroids, cesarean section combined with hysteromyoma removal can significantly shorten the time and hospitalization time of malignant dew, reduce the incidence of adverse reactions, and improve the treatment effect and patient satisfaction.
作者
高红静
Gao Hongjing(Department of Gynecology,Shandong Energy Medical Health Xinwen Mining Group Central Hospital,Taian,Shandong,271219,China)
出处
《当代医学》
2020年第15期38-40,共3页
Contemporary Medicine
关键词
晚期妊娠
子宫肌瘤
剖宫产术
子宫肌瘤剔除术
恶露
Late pregnancy
Uterine fibroids
Cesarean section
Uterine fibroids removal
Lochia
