剖宫产同时子宫肌瘤剔除术56例临床分析

【摘要】 目的:探讨剖宫产术中子宫肌瘤剔除的安全性、可行性。方法:回顾性分析56例剖宫产并子宫肌瘤剔除术,并与单纯剖宫产组比较手术时间、术后出血量,术后病率、住院天数,同时讨论子宫肌瘤孕妇在剖宫产同时行肌瘤剔除的指征、禁忌证及防止术中出血的方法。结果:显示两组间手术时间、出血量、术后病率、住院天数差异均无显著性。结论:剖宫产术中子宫肌瘤的处理应根据肌瘤位置、大小、患者的全身情况及术者的技术、经验,以安全为前提,权衡利弊,实施个体化方案,由有经验的医生在剖宫产同时有选择性地行子宫肌瘤剔除术,是安全可行的,大大减少再手术几率,减轻患者经济及思想负担。更多还原

【Abstract】 Objective:To explore the safety and feasibility of cesarean section plus myomectomy.Methods:56 patients were performed casareat section and myomectomy,operating time and bleeding volume after operation and complicating disease and hospital stays were observed,operatic indication and contraindication and methods of stop bleeding were analyzed.Results:Operating time wasn’t obviously extended.Loss of blood was not obviously increased during the operation.The number of days staying in hospital did not grow.There were no distinctive differences in blood over loss after the operation and inregular cesarean section.There didn’t occur any advanced stage of blood loss in womb.Conclusion:It is easy and safe to operate cesarean section plus myomectomy,reducing the rate of reoperation and relieving patients from economic and ideological burden.更多还原