中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
6期
733-734
,共2页
子宫肿瘤%剖宫产术%安全性%可行性研究
子宮腫瘤%剖宮產術%安全性%可行性研究
자궁종류%부궁산술%안전성%가행성연구
Uterine neoplasms%Cesarean section%Safety%Feasibility studies
目的 评价剖宫产同时行子宫肌瘤切除术的可行性和安全性.方法 分析2003年1月至2009年12月期间在广东省湛江市第二人民医院接受剖宫产同时行子宫肌瘤切除术的42例患者(研究组)和单纯行剖宫产术的80例产妇(对照组)的临床资料.比较2组的术中及术后情况.结果 研究组手术时间为[(84.5±14.8)min]明显长于对照组[(63.0±10.7)min,P<0.05];2组间术中和术后24 h的出血量[分别为(300±96)ml比(285±61)ml,(185±57)ml比(175±46)m1]、术后体温恢复时间[(29.8±13.2)h比(26.5±8.6)h]、产褥病发生率[2例(4.8%)比2例(2.5%)]及术后住院时间[(6.7±1.9)d比(6.1±1.8)d]差异均无统计学意义.结论 在严格掌握手术适应证及充分准备的情况下,剖宫产同时行子宫肌瘤切除术是安全可行的.
目的 評價剖宮產同時行子宮肌瘤切除術的可行性和安全性.方法 分析2003年1月至2009年12月期間在廣東省湛江市第二人民醫院接受剖宮產同時行子宮肌瘤切除術的42例患者(研究組)和單純行剖宮產術的80例產婦(對照組)的臨床資料.比較2組的術中及術後情況.結果 研究組手術時間為[(84.5±14.8)min]明顯長于對照組[(63.0±10.7)min,P<0.05];2組間術中和術後24 h的齣血量[分彆為(300±96)ml比(285±61)ml,(185±57)ml比(175±46)m1]、術後體溫恢複時間[(29.8±13.2)h比(26.5±8.6)h]、產褥病髮生率[2例(4.8%)比2例(2.5%)]及術後住院時間[(6.7±1.9)d比(6.1±1.8)d]差異均無統計學意義.結論 在嚴格掌握手術適應證及充分準備的情況下,剖宮產同時行子宮肌瘤切除術是安全可行的.
목적 평개부궁산동시행자궁기류절제술적가행성화안전성.방법 분석2003년1월지2009년12월기간재광동성담강시제이인민의원접수부궁산동시행자궁기류절제술적42례환자(연구조)화단순행부궁산술적80례산부(대조조)적림상자료.비교2조적술중급술후정황.결과 연구조수술시간위[(84.5±14.8)min]명현장우대조조[(63.0±10.7)min,P<0.05];2조간술중화술후24 h적출혈량[분별위(300±96)ml비(285±61)ml,(185±57)ml비(175±46)m1]、술후체온회복시간[(29.8±13.2)h비(26.5±8.6)h]、산욕병발생솔[2례(4.8%)비2례(2.5%)]급술후주원시간[(6.7±1.9)d비(6.1±1.8)d]차이균무통계학의의.결론 재엄격장악수술괄응증급충분준비적정황하,부궁산동시행자궁기류절제술시안전가행적.
Objective To evaluate the feasibility and safety of myomectomy during cesarean section. Methods The clinical data of 42 patients who underwent myomectomy during cesarean section (study group) and 80 matched pregnant women without uterine myoma who underwent cesarean section alone (control group) from Ja-nunary 2003 to December 2009 were reviewed. The data during and after surgery between two groups were compared. Results The average duration of operation was longer in the study group than that in the control group ( P < 0.05). However, there was no significant difference of blood loss during operation or within 24 hours after operation , incidence of postoperative fever or complication and hospital stay between study group and control group. ConclusionMyomectomy during cesarean section is safe and feasible.
