中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
34期
64-64,66
,共2页
子宫肌瘤%妊娠%手术治疗
子宮肌瘤%妊娠%手術治療
자궁기류%임신%수술치료
Uterine fibroid%Pregnancy%Operative treatment
目的：探讨手术治疗与非手术治疗子宫肌瘤合并妊娠的临床效果及安全性。方法：收治子宫肌瘤合并妊娠患者68例，其中50例行剖宫产的同时行子宫肌瘤切除术，为手术组，18例阴道自然分娩，为非手术组。收治同期无子宫肌瘤行剖宫产患者45例作为对照组1，同期无子宫肌瘤行阴道分娩患者6例作为对照组2。结果：手术组与非手术组、对照组1产时出血量比较，差异均无统计学意义(P＞0.05)。对照组2与非手术组产时出血量比较，差异有统计学意义(P＜0.05)。结论：子宫肌瘤合并妊娠时根据具体情况来选择分娩方式，若行剖宫产术时，同时将子宫肌瘤一并切除是安全、有效的。
目的：探討手術治療與非手術治療子宮肌瘤閤併妊娠的臨床效果及安全性。方法：收治子宮肌瘤閤併妊娠患者68例，其中50例行剖宮產的同時行子宮肌瘤切除術，為手術組，18例陰道自然分娩，為非手術組。收治同期無子宮肌瘤行剖宮產患者45例作為對照組1，同期無子宮肌瘤行陰道分娩患者6例作為對照組2。結果：手術組與非手術組、對照組1產時齣血量比較，差異均無統計學意義(P＞0.05)。對照組2與非手術組產時齣血量比較，差異有統計學意義(P＜0.05)。結論：子宮肌瘤閤併妊娠時根據具體情況來選擇分娩方式，若行剖宮產術時，同時將子宮肌瘤一併切除是安全、有效的。
목적：탐토수술치료여비수술치료자궁기류합병임신적림상효과급안전성。방법：수치자궁기류합병임신환자68례，기중50례행부궁산적동시행자궁기류절제술，위수술조，18례음도자연분면，위비수술조。수치동기무자궁기류행부궁산환자45례작위대조조1，동기무자궁기류행음도분면환자6례작위대조조2。결과：수술조여비수술조、대조조1산시출혈량비교，차이균무통계학의의(P＞0.05)。대조조2여비수술조산시출혈량비교，차이유통계학의의(P＜0.05)。결론：자궁기류합병임신시근거구체정황래선택분면방식，약행부궁산술시，동시장자궁기류일병절제시안전、유효적。
Objective:To explore the clinical curative effect and safety of operative treatment and non-operative treatment in uterine fibroid combined with pregnancy.Methods:68 patients with uterine fibroid combined with pregnancy were selected,in which 50 cases of cesarean section at the same time with hysteromyomectomy as the operation group,18 cases of vaginal spontaneous labor as the non operative group.45 patients without uterine fibroid with caesarean section at the same time were selected as the control group 1,6 patients without uterine fibroid with vaginal labor at the same time were as the control group 2. Results:The intrapartum bleeding volumes of the operation group and the non operative group,the control group 1 were compared, the differences were not significant(P>0.05).The intrapartum bleeding volumes of the control group 2 and the non operative group were compared,the difference was significant(P<0.05).Conclusion:According to the concrete condition,we choose delivery mode when uterine fibroid combined with pregnancy.If giving cesarean section,it is safe and effective to remove the uterine fibroid at the same time.
