摘要
目的 探析剖宫产术联合子宫肌瘤剔除术治疗晚期妊娠合并子宫肌瘤的临床疗效。方法 64例晚期妊娠合并子宫肌瘤患者为研究对象,依据计算机分组法分为研究组与对照组,各32例。对照组实施剖宫产术,术后待患者身体恢复稳定后开展子宫肌瘤剔除术,研究组同时实施剖宫产术与子宫肌瘤剔除术。对比两组手术指标、治疗效果及子宫复旧、肛门排气、恶露完全排净、住院时间。结果 研究组手术时间(36.14±16.6)min短于对照组的(55.32±25.64)min,术中出血量(198.48±40.14)ml、术后阴道出血量(105.92±19.12)ml少于对照组的(221.36±47.84)、(147.54±17.45)ml,新生儿Apgar评分(9.11±0.52)分高于对照组的(7.25±0.64)分,差异均有统计学意义(P<0.05)。研究组子宫复旧时间(41.15±4.74)d、肛门排气时间(6.31±0.73)d、住院时间(7.40±1.28)d、恶露完全排净时间(6.24±1.27)d均短于对照组的(49.96±5.12)、(8.86±1.11)、(9.93±1.51)、(11.05±2.40)d,差异均有统计学意义(P<0.05)。研究组治疗总有效率93.75%高于对照组的75.00%,差异有统计学意义(P<0.05)。结论 同时实施剖宫产术与子宫肌瘤剔除术治疗晚期妊娠合并子宫肌瘤疗效显著。
Objective To discuss and analyze the clinical efficacy of cesarean section combined with myomectomy in the treatment of late pregnancy complicated with uterine fibroids. Methods A total of 64 pregnant women with uterine fibroids in late pregnancy were selected as the research subjects, and were divided into the study group and the control group according to the computer grouping method, with 32 cases in each group. In the control group, a cesarean section was performed, and myomectomy was performed after the patient recovered and stabilized;in the research group, a cesarean section combined with myomectomy was performed at the same time. The surgical index, therapeutic effect, time of uterine involution, time of anal exhaust, time of hospitalization were compared between the two groups. Results In the research group, the operation time(36.14±16.6) min was shorter than(55.32±25.64) min in the control group;the intraoperative blood loss(198.48±40.14) ml and the postoperative vaginal blood loss(105.92±19.12) ml were lower than(221.36±47.84) and(147.54±17.45) ml in the control group;the neonatal Apgar score(9.11±0.52) points was higher than(7.25±0.64) points in the control group;the differences were all statistically significant(P<0.05). In the research group, the time of uterine involution was(41.15±4.74) d, the time of anal exhaust was(6.31±0.73) d, the time of hospitalization was(7.40±1.28) d, the time of complete lochia excretion was(6.24±1.27) d, which were shorter than(49.96±5.12),(8.86±1.11),(9.93±1.51),(11.05±2.40) d in the control group, and the differences were all statistically significant(P<0.05). The total effective rate 93.75% of the research group was higher than 75.00% of the control group, and the difference was statistically significant(P<0.05). Conclusion Simultaneous cesarean section and myomectomy have a significant effect in the treatment of late pregnancy complicated with uterine fibroids.
作者
刘杰
LIU Jie(First Hospital of Xifeng County,Tieling 112400,China)
出处
《中国实用医药》
2022年第25期73-75,共3页
China Practical Medicine
