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目的总结妊娠合并子宫肌瘤的临床治疗体会。方法选取2013年7月到2015年7月我院收治的75例晚期妊娠合并子宫肌瘤的孕产妇为观察组,行剖宫产+肌瘤剔除组为肌瘤剔除组,另选同期在我院行单纯剖宫产的75例孕产妇为对照组,比较两组的预后情况。结果 175例孕产妇中,剖宫产65例,阴道分娩10例;2两组行剖宫产术的孕产妇的手术时间、术中出血量、术后血红蛋白水平、住院时间依次为(33.10±4.11)min、(133.62±14.75)ml、(13.21±2.81)g/L、(6.79±0.61)d,对照组依次为(30.01±6.20)min、(131.52±15.23)ml、(12.63±3.37)g/L、(6.71±1.18)d,两组差异均较无统计学意义(P>0.05);3肌瘤剔除组产褥感染率为3.33%(2/60),对照组为2.50%(2/80),两组对比差异无统计学意义(P>0.05)。结论对于晚期妊娠合并子宫肌瘤的孕产妇,可根据实际情况,比如肌瘤的生长部位、大小等,选择合适的分娩方式,如符合条件,在行剖宫产时剔除子宫肌瘤也是安全可行的。
Objective To summarize the clinical experience of uterine fibroids in pregnancy. Methods From July 2013 to July 2015, 75 pregnant women with late pregnancy complicated with uterine fibroids in our hospital were selected as the observation group. The cesarean section and fibroid rejection group were myomectomy group. 75 cases of simple cesarean section hospital maternity as a control group, the prognosis of the two groups were compared. Results Among 175 pregnant women, 65 cases were cesarean and 10 cases were vaginal delivery. The operation time, intraoperative blood loss, postoperative hemoglobin level and postoperative hospital stay of the two groups were 33.10 ± (13.01 ± 2.81) g / L and (6.79 ± 0.61) d respectively in the control group were (30.01 ± 6.20) min, (131.52 ± 15.23) ml and (12.63 ± 3.37) g / L, (6.71 ± 1.18) d, respectively, and there was no significant difference between the two groups (P> 0.05). The incidence of puerperal infection in 3 myomectomy group was 3.33% (2/60) and in control group was 2.50% 2/80), no significant difference between the two groups (P> 0.05). Conclusion Pregnant women with advanced uterine fibroids in late pregnancy may choose suitable mode of delivery according to the actual situation, such as the growth site and size of fibroids. If the conditions are met, it is safe and feasible to eliminate uterine fibroids during cesarean section of.