CAJ | 학술논문

目的：探讨妊娠合并巨大子宫肌瘤的剖宫产术中的处理方式。方法：选择某医院妊娠合并巨大子宫肌瘤17例(A组)、妊娠合并子宫肌瘤17例(B组)及单纯行剖宫产17例(C组)的患者临床资料进行回顾性分析。对手术时间、术中失血量、产后出血情况、产褥感染率、术后住院天数等指标进行比较。结果：研究组A组的手术时间、术中出血量、产后出血例数明显高于对照组B、C组(P<0.05)，但三组间的产褥感染发生率、术后住院天数、新生儿窒息率及新生儿体重无明显差别(P>0.05)。结论：剖宫产术中同时处理巨大子宫肌瘤安全、可行，但必须强调整个围手术期管理的重要性。
목적：탐토임신합병거대자궁기류적부궁산술중적처리방식。방법：선택모의원임신합병거대자궁기류17례(A조)、임신합병자궁기류17례(B조)급단순행부궁산17례(C조)적환자림상자료진행회고성분석。대수술시간、술중실혈량、산후출혈정황、산욕감염솔、술후주원천수등지표진행비교。결과：연구조A조적수술시간、술중출혈량、산후출혈례수명현고우대조조B、C조(P<0.05)，단삼조간적산욕감염발생솔、술후주원천수、신생인질식솔급신생인체중무명현차별(P>0.05)。결론：부궁산술중동시처리거대자궁기류안전、가행，단필수강조정개위수술기관리적중요성。
0bjective:To explore the management of pregnancy complicated with gigantic uterine fibroids in ce-sarean section.Methods:A retrospective case-control study was done to review the clinical data of 17 cases of preg-nancy with gigantic uterine fibroids (A group),17 cases of pregnancy with fibroids (B group), 17 cases of pregnancy without fibroids (C group).The operation time,blood loss,postpartum hemorrhage,peuparium infection and hospital-ization days were compared.Results:The mean operative time in group A was significantly longer than group B、C (P<0.05);The blood loss and postpartum hemorrhage in group A were much more than those in group B、C(P<0.05);There were no differences in mean neonatal weight,neonatal asphyxia,peuparium infection and hospitalization days amongthree groups(P>0.05).Conclusions:Myomectomy of gigantic uterine fibroids during Cesarean section is safe and feasible,but careful perioperative management is very critical.