中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2014年
7期
594-596
,共3页
子宫肌瘤%剖宫产%子宫肌瘤剔除术%挤压法
子宮肌瘤%剖宮產%子宮肌瘤剔除術%擠壓法
자궁기류%부궁산%자궁기류척제술%제압법
Hysteromyoma%Caesarean section%Myomectomy%Extrusion
目的:通过与无肌瘤剖宫产对比,评价剖宫产术中挤压法子宫肌瘤剔除的安全性。方法2008年1月~2010年12月,剖宫产术中挤压法剔除子宫肌瘤128例(肌瘤组),选择肌瘤组病例的后一例无子宫肌瘤剖宫产为对照组128例。比较2组产后出血量、产后出血率、产后发热及术后住院时间。结果2组产后出血量[(233.6±58.9) ml vs.(228.5±90.9)ml, t=0.530, P=0.597],出血率[0%(0/128) vs.0.8%(1/128), P=1.000],血红蛋白下降[(6.17±2.83) g/L vs.(6.89±3.09)g/L, t=-1.944, P=0.053],红细胞压积下降(2.22%±0.98% vs.2.27%±1.02%, t=-0.400, P=0.690),发热率[2.3%(3/128) vs.5.5%(7/128),χ2=1.665, P=0.197]及术后住院时间[(4.2±0.8)d vs.(4.1±1.2) d, t=0.706, P=0.481]差异均无显著性。结论剖宫产术中挤压法剔除子宫肌瘤,不增加产后出血,也不增加产后感染,是一种简单、微创、安全、可行的手术方法,值得临床推广。
目的:通過與無肌瘤剖宮產對比,評價剖宮產術中擠壓法子宮肌瘤剔除的安全性。方法2008年1月~2010年12月,剖宮產術中擠壓法剔除子宮肌瘤128例(肌瘤組),選擇肌瘤組病例的後一例無子宮肌瘤剖宮產為對照組128例。比較2組產後齣血量、產後齣血率、產後髮熱及術後住院時間。結果2組產後齣血量[(233.6±58.9) ml vs.(228.5±90.9)ml, t=0.530, P=0.597],齣血率[0%(0/128) vs.0.8%(1/128), P=1.000],血紅蛋白下降[(6.17±2.83) g/L vs.(6.89±3.09)g/L, t=-1.944, P=0.053],紅細胞壓積下降(2.22%±0.98% vs.2.27%±1.02%, t=-0.400, P=0.690),髮熱率[2.3%(3/128) vs.5.5%(7/128),χ2=1.665, P=0.197]及術後住院時間[(4.2±0.8)d vs.(4.1±1.2) d, t=0.706, P=0.481]差異均無顯著性。結論剖宮產術中擠壓法剔除子宮肌瘤,不增加產後齣血,也不增加產後感染,是一種簡單、微創、安全、可行的手術方法,值得臨床推廣。
목적:통과여무기류부궁산대비,평개부궁산술중제압법자궁기류척제적안전성。방법2008년1월~2010년12월,부궁산술중제압법척제자궁기류128례(기류조),선택기류조병례적후일례무자궁기류부궁산위대조조128례。비교2조산후출혈량、산후출혈솔、산후발열급술후주원시간。결과2조산후출혈량[(233.6±58.9) ml vs.(228.5±90.9)ml, t=0.530, P=0.597],출혈솔[0%(0/128) vs.0.8%(1/128), P=1.000],혈홍단백하강[(6.17±2.83) g/L vs.(6.89±3.09)g/L, t=-1.944, P=0.053],홍세포압적하강(2.22%±0.98% vs.2.27%±1.02%, t=-0.400, P=0.690),발열솔[2.3%(3/128) vs.5.5%(7/128),χ2=1.665, P=0.197]급술후주원시간[(4.2±0.8)d vs.(4.1±1.2) d, t=0.706, P=0.481]차이균무현저성。결론부궁산술중제압법척제자궁기류,불증가산후출혈,야불증가산후감염,시일충간단、미창、안전、가행적수술방법,치득림상추엄。
Objective To evaluate the safety of myomectomy by extrusion in cesarean section , in comparison with routine cesarean delivery. Methods From January 2008 to December 2010, a total of 128 operations of myomectomy by extrusion in cesarean section were performed (Myoma Group), while another group of 128 cases undergoing caesarean section , which respectively followed every cases of the Myoma Group but had no hysteromyoma , was selected as the control group .The amount and rate of postpartum hemorrhage , the level of postpartum fever , and postoperative hospital stay between the two groups were compared , respectively. Results In the two groups:the amount of postpartum hemorrhage was (233.6 ±58.9) ml vs.(228.5 ±90.9) ml (t=0.530, P=0.597); the rate of postpartum hemorrhage was 0% (0/128) vs.0.8% (1/128) (P=1.000); the decrease of haemoglobin was (6.17 ±2.83) g/L vs.(6.89 ±3.09) g/L (t=-1.944, P=0.053); the decrease of hematocrit was 2.22%± 0.98%vs.2.27%±1.02% (t=-0.400, P=0.690); the rate of postpartum fever was 2.3% (3/128) vs.5.5% (7/128) (χ2 =1.665, P=0.197);the length of postoperative hospital stay was (4.2 ±0.8) d vs.(4.1 ±1.2) d (t=0.706, P=0.481). There were no significant differences between the two groups in the abovementioned parameters . Conclusions The myomectomy by extrusion in cesarean section does not increase the level of postpartum hemorrhage and the rate of postpartum infections .It is a simple, minimally invasive , safe and feasible surgical method , being worthy of clinical application .