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目的:探讨分析剖宫产联合行子宫肌瘤剔除术治疗妊娠合并子宫肌瘤的临床疗效。方法:选取我院2012年10月-2013年11月收治的62例实行剖宫产联合行子宫肌瘤剔除术治疗妊娠合并子宫肌瘤患者为A组,另选取60例单纯实行剖宫产的患者为B组,观察两组患者手术效果。结果:两组患者手术前后血红蛋白变化、术中出血量、术后24h出血量以及术后子宫恢复情况比较,差异无统计学意义(p>0.05),子宫肌瘤直径在5-8cm之间的患者术中出血量以及术后24h出血量和子宫肌瘤直径小于5cm的患者比较,差异无统计学意义(p>0.05)。结论:在手术指征符合、手术方法合理的情况下,剖宫产联合行子宫肌瘤剔除术治疗妊娠合并子宫肌瘤的临床疗效较理想,对于子宫肌瘤直径大于8cm以及肌瘤部位较特殊的患者不适宜应用该术式。
Objective: To investigate the clinical efficacy of combined cesarean section with myomectomy in the treatment of uterine fibroids in pregnancy. Methods: A total of 62 patients with myoma of uterus treated by cesarean section combined with myomectomy were enrolled in our hospital from October 2012 to November 2013. Patients in group A were treated with cesarean section The patients were in group B, and the operation effects of two groups were observed. Results: There was no significant difference in hemoglobin, intraoperative blood loss, postoperative 24h blood loss and postoperative uterine recovery between the two groups (p> 0.05). The diameter of uterine fibroids was between 5-8cm There was no significant difference in the amount of bleeding during operation, the amount of bleeding after 24 hours and the diameter of uterine fibroids less than 5 cm (p> 0.05). Conclusion: The clinical efficacy of cesarean combined with uterine myomectomy in the treatment of uterine fibroids in pregnancy is ideal when the operation indications are consistent and the surgical methods are reasonable. For the patients with uterine fibroids greater than 8 cm in diameter and fibroid sites Of patients unsuitable for the operation.