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目的探讨剖宫术中行子宫肌瘤剔除术的可行性。方法选取剖宫产术中行子宫肌瘤剔除术患者36例作为研究组,并选同期分娩的无合并症的剖宫产孕妇36例为对照组。观察2组手术时间、失血量、术后产褥病率及恶露持续时间。结果 2组手术时间、手术失血量、术后产褥病率及恶露持续时间比较,差异均无统计学意义(P>0.05)。结论在剖宫产术中行子宫肌瘤(直径3~8cm)剔除术是可行的,但应严格掌握肌瘤剔除的适应证。
Objective To investigate the feasibility of uterine myomectomy in cesarean section. Methods Thirty-six patients who underwent uterine myomectomy in cesarean section were selected as the study group. Thirty-six pregnant women who underwent cesarean section without complications were selected as the control group. The operative time, blood loss, puerperal morbidity, and duration of lochia were observed in the 2 groups. Results There were no significant differences in operative time, blood loss, puerperal morbidity and lochia duration between the two groups (P>0.05). Conclusions In the cesarean section, uterine fibroids (diameter 3 ~ 8cm) can be removed, but the indications of myomectomy should be strictly controlled.