CAJ | 학술논문

目的：探讨剖宫产术中同时进行子宫肌瘤剔除术的可行性和安全性。方法选择我院行剖宫产手术的220例产妇作为研究对象，按照随机分组分为观察组和对照组，每组各110例，对照组仅行剖宫产，观察组在剖宫产术中同时进行子宫肌瘤剔除术，观察两组产妇术后指标。结果观察组手术时间长于对照组，术中缩宫素使用量多于对照组，组间对比差异有统计学意义(P <0.05)。两组在术中出血量、术后血红蛋白浓度、肛门排气时间、产褥病发生率、住院时间和恶露干净时间比较差异无统计学意义(P >0.05)。结论应根据子宫肌瘤类型选择合适的剔除方案，在剖宫产手术中同时进行子宫肌瘤剔除术是安全可行的，值得在临床上推广使用。
목적：탐토부궁산술중동시진행자궁기류척제술적가행성화안전성。방법선택아원행부궁산수술적220례산부작위연구대상，안조수궤분조분위관찰조화대조조，매조각110례，대조조부행부궁산，관찰조재부궁산술중동시진행자궁기류척제술，관찰량조산부술후지표。결과관찰조수술시간장우대조조，술중축궁소사용량다우대조조，조간대비차이유통계학의의(P <0.05)。량조재술중출혈량、술후혈홍단백농도、항문배기시간、산욕병발생솔、주원시간화악로간정시간비교차이무통계학의의(P >0.05)。결론응근거자궁기류류형선택합괄적척제방안，재부궁산수술중동시진행자궁기류척제술시안전가행적，치득재림상상추엄사용。
Objective To assess the feasibility and safety of uterine myomectomy during cesarean section. Methods A total of 220 patients underwent cesarean section were enrolled in this study,the objects were randomly allocated to an observation group (n =1 10)and a control group (n =1 10),1 10 cases in the control group received cesarean delivery alone,1 10 cases in observation group underwent cesarean myomectomy.The post-operative indexes of the two groups were observed. Results The operation duration of the observation group was longer than the control group,more intraoperative ocytocin usage than the control group,group-paired comparison showed statistically significant differences (P < 0.05 ).The comparison of intraoperative bleeding,postoperative hemoglobin concentration,anal exhaust time,puerperal disease incidence,hospital du-ration and duration of lochia between the two groups were performed,there were no statistically significant differences (P > 0.05 ). Conclusion An appropriate myomectomy should be chosen based on uterine fi-broids types,cesarean myomectomy is safe and feasible,so is worthy of popularizing in clinical use.