剖宫产术中行子宫肌瘤剔除术对妊娠结局近期影响

王文丽

辽宁省东港市中医院妇产科，辽宁东港118300

剖宫产术中行子宫肌瘤剔除术对妊娠结局近期影响

王文丽

辽宁省东港市中医院妇产科，辽宁东港118300

目的探讨剖宫产术中行子宫肌瘤剔除术对妊娠结局近期影响。方法收集2012年10月～2015年12月期间我院收治的106例妊娠合并子宫肌瘤的产妇作为研究对象，将所有研究对象按照治疗方法分为两组，研究组和对照组各53例，对照组单独实施剖宫产手术，研究组在剖宫产同时实施子宫肌瘤剔除术，观察两组手术情况及产后情况、产妇产后并发症情况、围生儿情况。结果（1）研究组的手术时间与对照组比较更长，差异有统计学意义（P＜0.05）；研究组术中出血量、术后24 h出血量、术后缩宫素使用量、产后恶露时间与对照组比较，差异均无统计学意义（P＞0.05）。（2）两组产妇的术后并发症主要表现为术后感染、术后发热、产褥病、切口愈合不良等，研究组的术后并发症总发生率与对照组比较，差异无统计学意义（P＞0.05）。（3）研究组新生儿窒息、HIE、胎粪吸入综合征发生率、新生儿Apgar评分与对照组比较，差异无统计学意义（P＞0.05）。结论剖宫产中行子宫肌瘤剔除术不会增加产妇术后并发症的发生率，对围生儿情况无明显影响，有较高的安全性，可以在临床推广应用。

剖宫产曰子宫肌瘤剔除术曰妊娠结局曰并发症曰新生儿

[Abstract]Objective To investigate the recent impact on pregnancy outcome of the cesarean section intraoperative myomectomy.Methods 106 cases of pregnant women with uterine fibroids in our hospital were selected from October 2012 to December 2015，all subjects were divided into two groups according to the treatment methods，there were 53 cases in the study group and 53 cases in the control group，the control group was implemented individually cesarean section，the study group was treated with simultaneously myomectomy in cesarean surgery，the operation and postpartum maternal，postpartum complications，perinatal child case were compared.Results（1）The operation time of the study group was longer than the control group，the difference was statistically significant（P＜0.05）；the blood loss，postoperative 24 h bleeding，postoperative use of oxytocin，postpartum lochia time of the study group compared with the control group，the differences were not statistically significant（P＞0.05）.（2）The maternal complications included postoperative infection，postoperative fever，puerperal disease，poor wound healing，and the postoperative complications overall incidence in the study group compared with those in control group，the difference was not statistically significance（P＞0.05）.（3）The asphyxia，HIE，the incidence of meconium aspiration syndrome，neonatal Apgar score of the study group compared with the control group，the difference was not statistically significant（P＞0.05）.Conclusion The cesarean section intraoperative myomectomy will not increase the incidence of maternal postoperative complications，has no significant effect on perinatal children cases，and has a higher security，can be applied in clinical practice.

[Key words]Cesarean section；Myomectomy；Pregnancy outcome；Complications；Newborns

子宫肌瘤是临床常见的一种良性肿瘤，也称为纤维肌瘤、子宫纤维瘤［1］。其发病率约为5.4%～77%，随着女性生育年龄的增加，子宫肌瘤的发病率……