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目的探讨妊娠合并子宫肌瘤行不同方式处理效果。方法选择我院2011年2月～2013年2月行剖宫产同时行子宫肌瘤剔除术治疗的妊娠合并子宫肌瘤患者28例,其中初产妇,经产妇例年龄23～38岁,平均年龄28.7岁,瘤体直径3～10cm,平均4.9cm。选择同期单纯剖宫产病例50例作对照组进行比较。结果剖宫产合并子宫肌瘤组手术时间为(70.1±5.3)min,术中出血量为(218±50.4)ml,术后住院时间为(7.1±0.7)d,术后患病率为3.6%,单纯剖宫产组手术时间为(51.9±6.8)min,术中出血量为(190±52.3)ml,术后住院时间为(7.0±0.7)d,术后患病率为2.0%,两组手术时间比较有显著性差异(P<0.05),术中出血量、术后住院时间和术后患病率比较无显著性差异(P>0.05)。结论剖宫产手术中同时剔除肌瘤并不增加手术风险,术后恢复良好,值得临床推广。
Objective To investigate the effect of different ways to treat uterine fibroids during pregnancy. Methods Select our hospital from February 2011 to February 2013 cesarean section underwent simultaneous myomectomy in pregnancy with uterine fibroids in 28 patients, including primipara, maternal age ranged from 23 to 38 years, mean age 28.7 years old, tumor diameter 3 ~ 10cm, an average of 4.9cm. 50 cases of simple cesarean section in the same period were selected as the control group for comparison. Results The operative time of cesarean section with uterine fibroids was (70.1 ± 5.3) min, the amount of blood loss was (218 ± 50.4) ml, the postoperative hospital stay was (7.1 ± 0.7) days and the postoperative morbidity was 3.6 %. The operation time of the simple caesarean section group was (51.9 ± 6.8) min, the blood loss was (190 ± 52.3) ml, the postoperative hospital stay was (7.0 ± 0.7) days, the postoperative morbidity was 2.0% There was significant difference between the two groups in operation time (P <0.05), blood loss in operation, postoperative hospital stay and postoperative morbidity were not significantly different (P> 0.05). Conclusion Cesarean section at the same time remove the fibroids does not increase the risk of surgery, postoperative recovery is good, worthy of clinical promotion.