38例剖宫产同时剔除子宫肌瘤临床体会.docx38例剖宫产同时剔除子宫肌瘤临床体会谭恵琴(广西省环江县妇幼保健院547100)【中图分类号】【文献标识码】A【文章编号】1672-5085(2012)17-0083-02【摘要】目的探讨剖宫产术中剔除子宫肌瘤的临床体会、可行性。方法回顾性分析38例剖宫产并子宫肌瘤剔除术,并与单纯剖宫产组比较手术时间、术后出血量,术后发病率、住院天数,同时讨论子宫肌瘤孕妇在剖宫产同时行肌瘤剔除的指征、禁忌证及防止术中出血的方法。结果显示两组手术时间、出血量、术后发病率、住院天数差异均无显著性。结论剖宫产术中子宫肌瘤的剔除应根据肌瘤位置、大小、患者的身体情况,以安全为前提,实施个体化方案,有经验的医师在剖宫产的同时选择性地行子宫肌瘤剔除术,是安全可行的,可减少再手术几率,减轻患者心理负担,有助于患者康复。【关键词】剖宫产子宫肌瘤剔除临床体会[Abstract]Objective:Toinvestigatethecesareansectionineliminatingmyomaofuterusclinicalexperienee,:aretrospectiveanalysisof38casesofcesareansectionanduterinemyomectomy,parisonofoperationtime,postoperativebleedingvolume,postoperativemorbidity,lengthofhospitalstay,alongwithadiscussionofmyomaofuterusinpregnantwomenwithcesareansectionatthesametimelinefibroidsindication,:twooperationtime,bleedingvolume,postoperativemorbidity,:duringcesareansectionuterinefibroidsremovedfibroidslocation,size,shouldbebasedonthepatient'sbody,inthepremiseofsafety,implementationofindividualized,experieneedphysiciansincesareansectionatthesametimetheselectiveuterinemyomectomy,issafeandfeasible,couldreducetheoperationrisk,reducepatientpsychologicalburden,contributetotherehabilitationofpatientswith.【Keywords]cesareansectionuterinefibroidsclinicalexperience近年来许多临床资料证明剖宫产同吋剔除子宫肌瘤的可行性。子宫肌瘤病是生育年龄妇女最常见的良性
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