CAJ | 학술논문

目的：探讨在剖宫产术中切除不同大小的子宫肌瘤的安全性、可行性。方法选取2007年1月至2012年12月剖宫产术中行子宫肌瘤剔除术的患者为研究组，共64例（小肌瘤组34例，大肌瘤组30例）；同期剖宫产无子宫肌瘤的患者为对照组，共60例。比较其手术时间、术中和术后24 h出血量、术后肛门排气时间、术后病率、住院时间、恶露干净时间。结果研究组手术时间较对照组长，差异有统计学意义（P<0.05），余比较均无统计学意义（P>0.05）。结论选择合适病例，剖宫产术中行肌瘤剔除术，是安全可行的，同时可免除二次手术的可能，减轻患者的经济负担。
목적：탐토재부궁산술중절제불동대소적자궁기류적안전성、가행성。방법선취2007년1월지2012년12월부궁산술중행자궁기류척제술적환자위연구조，공64례（소기류조34례，대기류조30례）；동기부궁산무자궁기류적환자위대조조，공60례。비교기수술시간、술중화술후24 h출혈량、술후항문배기시간、술후병솔、주원시간、악로간정시간。결과연구조수술시간교대조조장，차이유통계학의의（P<0.05），여비교균무통계학의의（P>0.05）。결론선택합괄병례，부궁산술중행기류척제술，시안전가행적，동시가면제이차수술적가능，감경환자적경제부담。
Objective To discuss the safety and feasibility of resection in cesarean on different sizes of fibroids. Methods 64 cases with cesarean excision of uterine Leiomyoma (34 cases with small cesarean section, 30 cases with large cesarean section) were selected from January, 2007 to December, 2012 in the study. 60 cases with cesarean section without fibroids during the same period were selected as the control group. Their operating time, intra-operative and postoperative 24h bleeding, anal exsuflfation time after surgery, postoperative morbidity, hospital stay and lochia clean time were compared. Results The surgery time was longer than that of the controls. There were signiifcant difference between the 2 groups (P<0.05). There were not other signiifcant difference between the 2 groups concerning the other related factors(P>0.05). Conclusion Selecting the right case, BOC ifbroid excision cesarean was safe and feasible, and may dispense with the second operation and alleviate the ifnancial burden on the patients.