摘要
目的观察探究妊娠合并子宫肌瘤行剖宫产术中肌瘤切除的作用效果。方法将50例2015年7月—2018年2月在我院接受治疗的妊娠合并子宫肌瘤并行剖宫产术的患者纳入为实验对象,按照是否对肌瘤进行切除将患者分为对照组和观察组。对照组单纯行剖宫产手术,观察组在剖宫产术中进行肌瘤切除。记录分析两组的治疗效果。结果观察组与对照组在手术时间、住院时间、术后宫缩素使用方面差异具有统计学意义(P<0.05),在术中出血量与术后出血量方面差异不具有统计学意义(P>0.05)。观察组并发症发生率稍高于对照组,但是两者差异无统计学意义(P>0.05)。结论在妊娠合并子宫肌瘤行剖宫产术中进行肌瘤切除安全可靠。医护人员应该在确保母婴安全的前提下,根据患者的实际情况进行肌瘤切除,以避免二次手术。
Objective To observe and explore the effect of hysteromyoma resection during cesarean section in pregnancy with uterine myoma. Methods 50 cases of pregnancy treated in our hospital from July 2015 to February 2018 with hysteromyoma combined with cesarean section were included as experimental subjects and divided into control group and observation group according to whether or not the fibroids were removed. The control group only underwent cesarean section, while the observation group underwent myomectomy. The operation indexes, hospitalization time and complications of the two groups were recorded and analyzed. Results There were significant differences between the observation group and the control group in operative time, hospitalization time and postoperative oxytocin use（P〈0.05）, there was no significant difference between the two groups in the amount of intraoperative blood loss and postoperative bleeding（P〉0.05）. The incidence of complications in the observation group was slightly higher than that in the control group, but the difference was not statistically significant（P〉0.05）. Conclusion Myomectomy by cesarean section in pregnancy with uterine myoma is safe and reliable. In order to avoid secondary surgery, medical staff should, on the premise of ensuring the safety of mother and baby, carry out myomectomy according to the actual situation of the patient.
作者
刘宏林
LIU Honglin(Gynecology and Obstetrics Department, Pizhou Maternal and Child Health Hospital, Pizhou Jiangsu 221300, China)
出处
《中国卫生标准管理》
2018年第18期32-33,共2页
China Health Standard Management
关键词
妊娠
子宫肌瘤
剖宫产术
并发症
肌瘤切除
宫缩素
pregnancy
uterine fibroids
caesarean section
complications
myomectomy
contractions
