摘要
目的探讨晚期妊娠合并巨大子宫肌瘤术中的处理方式。方法分析晚期妊娠合并巨大子宫肌瘤(A组)、晚期妊娠合并子宫肌瘤(B组)及单纯行剖宫产(C组)患者的临床资料,每组均为67例。对患者年龄、手术时间、术中失血量等指标进行比较。结果 A组的年龄、手术时间、术中失血量、低置胎盘、胎位异常、新生儿体重、抗生素使用时间与B、C组相比有统计学差异(P<0.05),但3组间术后住院时间、新生儿窒息率及产褥感染率无明显差异(P>0.05)。结论剖宫产术中同时处理巨大子宫肌瘤是可行的,但必须根据受术者的个体情况加强围手术期的管理。
Objective The treatment of late pregnancy complicated with gigantic uterine leiomyoma in cesarean section（CS） was investigated.Methods A retrospective case-control study was done to review the clinical data of pregnancy with gigantic uterine leiomyoma（A group）,late preganacy with leiomyoma（B group）,late pregnancy without leiomyoma（C group）.The age,operation time and blood loss were compared.Results The age,operation time,blood loss,low-lying placenta,abnormal fetal position,neonata weight,the time to use the antibiotic were significantly different between group A and group B and group C（P0.05）.No significant differences on postoperative inpatient period,neonatal asphyxia,peupariun infection were found between group A and group B and C（P0.05）.Conclusion Myomectomy of gigantic uterine leiomyoma during CS is feasible,but careful perioperative management is very critical.
出处
《西部医学》
2011年第5期909-911,共3页
Medical Journal of West China
