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目的探讨剖宫产术同时行子宫肌瘤剥除术的临床效果。方法回顾性分析2011年7月~2014年12月在我院行剖宫产术同时行子宫肌瘤剥除术的患者89例及86例单纯行剖宫产术患者共175例的临床资料。结果两组手术均顺利完成,研究组手术时间长于对照组,(70±20分钟,45±15分钟),差异有统计学意义(P<0.05),术中出血量、产后出血量、术后排气时间、血红蛋白差值、产褥病率比较,差异无统计学意义(P>0.05)。结论综合考虑患者肌瘤大小、位置及患者自身情况,选择性的于剖宫产术同时行子宫肌瘤剥除术疗效肯定,是安全可行的。
Objective To investigate the clinical effect of cesarean section in the simultaneous removal of uterine fibroids. Methods The clinical data of 89 patients who underwent cesarean section in our hospital from July 2011 to December 2014 and 86 patients who underwent cesarean section alone were retrospectively analyzed. Results The operation of both groups was successfully completed. The operation time of the study group was longer than that of the control group (70 ± 20 minutes and 45 ± 15 minutes), with significant difference (P <0.05), intraoperative blood loss, postpartum hemorrhage volume, postoperative Exhaust time, hemoglobin difference, puerperal morbidity, the difference was not statistically significant (P> 0.05). Conclusion Considering the size, location of patients with fibroids and the patient’s own situation, selective cesarean section at the same time the cure of uterine fibroids affirmative, is safe and feasible.