CAJ | 학술논문

目的：研究剖宫产同期行挤压法子宫肌瘤剔除术的临床效果及安全性。方法回顾性分析妊娠合并子宫肌瘤的产妇56例，在剖宫产术中同时行子宫肌瘤剔除术，将同期60例单纯行剖宫产术的产妇作为对照，比较两组的手术时间、出血量、术后肠蠕动恢复时间，手术切口愈合时间，术后并发症，恶露干净时间等。结果两组均安全完成手术，合并肌瘤剔除组的手术时间大于对照组(P<0.05)，出血量差异无统计学意义。结论剖宫产术中选择合理的手术方法，同期行子宫肌瘤剔除术是安全可行的。
목적：연구부궁산동기행제압법자궁기류척제술적림상효과급안전성。방법회고성분석임신합병자궁기류적산부56례，재부궁산술중동시행자궁기류척제술，장동기60례단순행부궁산술적산부작위대조，비교량조적수술시간、출혈량、술후장연동회복시간，수술절구유합시간，술후병발증，악로간정시간등。결과량조균안전완성수술，합병기류척제조적수술시간대우대조조(P<0.05)，출혈량차이무통계학의의。결론부궁산술중선택합리적수술방법，동기행자궁기류척제술시안전가행적。
Objective To study clinical ef icacy and safety of cesarean section merging myomectomy in extrusion method. Methods 56 pregnant women with hysteromyoma received myomectomy in the process of cesarean section which were compared with 60 pregnant women with simple cesarean section on operative time, amount of bleeding, postoperative intestinal peristalsis recovery time, incision healing time, postoperative complications, lochia clean time etc. Results Both methods were safe. Operative time of the 56 pregnant women with hystermyoma group significantly longer than the control group and no significant dif erence on the amount of bleeding. Conclusion Cesarean section merging myomectomy in extrusion method is safe and feasible.