中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
Chinese Journal Of Family Planning & Gynecotokology
2015年
10期
57-59
,共3页
妊娠%子宫肌瘤%剖宫产%子宫肌瘤切除术
妊娠%子宮肌瘤%剖宮產%子宮肌瘤切除術
임신%자궁기류%부궁산%자궁기류절제술
pregnancy%hysteromyoma%uterine - incision delivery%hysteromyomectomy
目的：探讨剖宫产术中同时行子宫肌瘤切除术的可行性。方法回顾性分析解放军第91中心医院2013~2014年剖宫产术中同时行子宫肌瘤切除术75例患者的临床资料。将肌瘤直径≥4 cm 的23例设为观察组，肌瘤直径＜4 cm 的52例设为对照组，比较两组手术时间，术中出血量，平均住院日，恶露干净时间。结果观察组手术时间[（55.35±13.06）min]长于对照组[（43.33±12.52）min]（P ＜0.05）；术中出血量分别为[（281.32±51.13）mL、（280.35±51.26）mL]、平均住院日分别为[（5.25±1.81）d、（5.23±1.63）d]、恶露干净时间分别为[（35.28±1.78）d、（35.32±1.81）d]，两组比较差异均无统计学意义（P ＞0.05）。结论妊娠合并子宫肌瘤的患者，病情平稳，剖宫产术中宫缩良好，剖宫产同时行肌瘤切除术是安全可行的。
目的：探討剖宮產術中同時行子宮肌瘤切除術的可行性。方法迴顧性分析解放軍第91中心醫院2013~2014年剖宮產術中同時行子宮肌瘤切除術75例患者的臨床資料。將肌瘤直徑≥4 cm 的23例設為觀察組，肌瘤直徑＜4 cm 的52例設為對照組，比較兩組手術時間，術中齣血量，平均住院日，噁露榦淨時間。結果觀察組手術時間[（55.35±13.06）min]長于對照組[（43.33±12.52）min]（P ＜0.05）；術中齣血量分彆為[（281.32±51.13）mL、（280.35±51.26）mL]、平均住院日分彆為[（5.25±1.81）d、（5.23±1.63）d]、噁露榦淨時間分彆為[（35.28±1.78）d、（35.32±1.81）d]，兩組比較差異均無統計學意義（P ＞0.05）。結論妊娠閤併子宮肌瘤的患者，病情平穩，剖宮產術中宮縮良好，剖宮產同時行肌瘤切除術是安全可行的。
목적：탐토부궁산술중동시행자궁기류절제술적가행성。방법회고성분석해방군제91중심의원2013~2014년부궁산술중동시행자궁기류절제술75례환자적림상자료。장기류직경≥4 cm 적23례설위관찰조，기류직경＜4 cm 적52례설위대조조，비교량조수술시간，술중출혈량，평균주원일，악로간정시간。결과관찰조수술시간[（55.35±13.06）min]장우대조조[（43.33±12.52）min]（P ＜0.05）；술중출혈량분별위[（281.32±51.13）mL、（280.35±51.26）mL]、평균주원일분별위[（5.25±1.81）d、（5.23±1.63）d]、악로간정시간분별위[（35.28±1.78）d、（35.32±1.81）d]，량조비교차이균무통계학의의（P ＞0.05）。결론임신합병자궁기류적환자，병정평은，부궁산술중궁축량호，부궁산동시행기류절제술시안전가행적。
Objective To explore the feasibility of uterine - incision delivery with hysteromyomectomy. Methods Clinical data of 75 cases of uterine - incision delivery with hysteromyomectomy in The 91th Hospital of PLA from 2013 to 2015 were retrospectively analyzed. Two groups were divided on the basis of hysteromyoma size,23 cases whose hysteromyoma size≥4 cm were selected into the observation group;52 cases whose hysteromyoma size < 4 cm were selected into the control group. The operation time,amount of bleeding,the average hospital stay,lochia time of postoperative of two groups were compared. Results The operation time of observation group[(55. 35 ± 13. 06)min]was longer than that of the control group[(43. 33 ± 12. 52)min](P < 0. 05),the amount of bleeding[(281. 32 ± 51. 13)mL、(280. 35 ± 51. 26)mL respectively],the average hospitalization days[(5. 25 ± 1. 81)mL、(5. 23 ± 1. 63)d respectively],time of lochia[(35. 28 ± 1. 78)d、(35. 32 ± 1. 81)d,respectively]had no significant difference between two groups. Conclusion Pregnancy with hysteromyoma whose uterine contraction is good in operation,condition stabilizes,uterine -incision delivery with hysteromyomectomy is safe and feasible.
