[1]程佳.剖宫产同时行子宫肌瘤切除术的手术方法及效果[J].中国计划生育和妇产科,2017,(8):50-52,56.
　CHENG Jia.Surgical methods and effects of uterine fibroids resection at the same time of cesarean section[J].Chinese Journal of Family Planning & Gynecotokology,2017,(8):50-52,56.
点击复制

剖宫产同时行子宫肌瘤切除术的手术方法及效果
分享到：

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年8期
页码:
50-52,56
栏目:
论著与临床
出版日期:
2017-08-25

文章信息/Info

Title:
Surgical methods and effects of uterine fibroids resection at the same time of cesarean section
作者:
程佳
宜宾市第二人民医院产科
Author(s):
CHENG Jia
Department of Obstetrics, Yibin Second People’s Hospital, Yibin Sichuan 644000, P.R.China
关键词:
妊娠; 子宫肌瘤; 剖宫产; 子宫肌瘤切除术
Keywords:
pregnancy;  uterine fibroids;  cesarean section;  uterine myoma resection
分类号:
R 719.8
摘要:
目的探讨妊娠合并子宫肌瘤患者剖宫产同时行子宫肌瘤切除术的手术方法及安全性。方法选取2011年1月至2016年1月宜宾市第二人民医院产科收治的73例妊娠合并子宫肌瘤妇女作为研究组，采用剖宫产同时行子宫肌瘤切除术；同期行剖宫产术的健康妊娠妇女73例作为对照组。对比两组的手术相关指标和术后恢复情况。结果研究组手术时间、术中出血量均高于对照组，差异有统计学意义（P＜005）；研究组和对照组的术前及术后24 h血红蛋白、缩宫素用量、肛门恢复排气时间、住院时间的差异无统计学意义（P＞005）；研究组和对照组的产褥病率、体温恢复正常时间、恶露持续时间、新生儿1min Apgar评分、5min Apgar 评分的差异无统计学意义（P＞005）。结论妊娠合并子宫肌瘤患者采用剖宫产同时行子宫肌瘤切除术的手术时间延长、术中出血量稍多，但并不增加剖宫产并发症及对新生儿不良影响的发生。
Abstract:
ObjectiveTo explore the surgical methods and safety of uterine leiomyoma resection with cesarean section in pregnant women with uterine fibroids.Methods73 cases of pregnant women complicated with uterine leiomyoma from January 2011 to January 2016 in Yibin Second People’s Hospital were collected as the study group,which were treated with uterine fibroid resection at the same time of esarean section. 73 pregnant women with cesarean section were treated as the control group.Compared the two groups of surgical-related indicators and postoperative recovery.ResultsThe operative time and intraoperative blood loss were higher in the study group than in the control group, the differences were statistically significant(P＜0.05); There were no significant differences in hemoglobin, oxytocin dosage, anal recovery time and hospitalization time between the study group and the control group before and after operation (P＞0.05); There were no significant differences between the study group and the control group in the mattress rate, the body temperature returned to normal time, the duration of lochia, the Apgar score of the infants at 1 min and 5 min(P＞0.05).ConclusionUterine leiomyoma resection with cesarean section in pregnant women with uterine fibroids had longer surgery time and slightly more intraoperative blood volume, but does not increase the complications of cesarean section and the occurrence of adverse effects of newborns.

参考文献/References:

［1］高翔，周生敏，王娟．剖宫产同时行子宫肌瘤切除术的安全性及效果评价 ［J］．西部医学，2015，27（9）：1359-1361, 1364． ［2］PITTER M C, GARGIULO A R, BONAVENTURA L M, et al Pregnancy outcomes following robot-assisted myomectomy ［J］ Human Reproduction, 2013, 28(1): 99-108 ［3］LUYCKX M, SQUIFFLET J L, JADOUL P, et al First series of 18 pregnancies after ulipristal acetate treatment for uterine fibroids ［J］. Fertility and Sterility, 2014, 102(5): 1404-1409. ［4］陈丽红，夏爱斌，阳许文．剖宫产同时行子宫肌瘤切除术可行性分析 ［J］．中国卫生产业，2014，11（10）：133-134． ［5］章素琴．剖宫产同时行子宫肌瘤切除术的安全性及疗效研究 ［J］．中国医药指南，2015，13 （33）：112-113． ［6］刘凤芝．剖宫产同时行子宫肌瘤切除术临床诊治分析 ［J］．医学信息，2016，29 （10）：314． ［7］刘晓菊．剖宫产同时行子宫肌瘤切除术效果观察 ［J］．现代诊断与治疗，2014，25（5）：1129-1130． ［8］孙晖．妊娠合并子宫肌瘤行剖宫产术中肌瘤切除的临床疗效探讨 ［J］．中外女性健康研究，2015，26 （9）：192-193． ［9］LUYCKX M, PIRARD C, FELLAH L, et al. Long-term nonsurgical control with ulipristal acetate of multiple uterine fibroids, enabling pregnancy ［J］. American Journal of Obstetrics and Gynecology, 2016, 214 (6): 756.e1-2. ［10］SEGARS J H, PARROTT E C, NAGEL J D, et al. Proceedings from the Third National Institutes of Health International Congress on Advances in Uterine Leiomyoma Research: comprehensive review, conference summary and future recommendations ［J］. Human Reproduction Update, 2014, 20 (3): 309-333. ［11］邓越文．妊娠合并子宫肌瘤行剖宫产术中肌瘤切除的临床疗效探讨 ［J］．现代诊断与治疗，2015，26 （18）：4214-4215． ［12］王永梅．剖宫产同期子宫肌瘤切除术与择期子宫肌瘤切除术的比较研究 ［J］．现代中西医结合杂志，2014，23（8）：870-871． ［13］王琼，李新琳．剖宫产同时切除子宫肌瘤术联合应用药物的效果 ［J］．中国实用医刊，2014，41（10）：68-70． ［14］张海云．剖宫产术同时行子宫肌瘤切除的临床观察 ［J］．白求恩医学杂志，2014，12 （2）：173-174． ［15］颜贵新．妊娠合并子宫肌瘤行剖宫产术中切除的临床安全性及可行性 ［J］．当代医学，2016，22 （8）：54-55．

相似文献/References:

[1]阚滨,肖美霞.妊娠合并血小板减少症65例临床分析[J].中国计划生育和妇产科,2009,(05):0.
　KAN Bin,XIAO Mei-xia The department of gynaecology and obstetrics,Shengli hospital of Rugao city,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2009,(8):0.
[2]廖治,杨业洲.多发性硬化和妊娠[J].中国计划生育和妇产科,2009,(05):0.
[3]谢萍,乔峰妮,冯俭,等.中医药治疗子宫肌瘤的系统评价[J].中国计划生育和妇产科,2010,(01):0.
　XIE Ping,QIAO Feng-ni,FENG Jian,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(8):0.
[4]周萍,李秀美,江彩虹,等.妊娠合并卵巢肿瘤98例临床分析[J].中国计划生育和妇产科,2010,(02):0.
[5]何博.妊娠合并先天性心脏病的诊治研究进展[J].中国计划生育和妇产科,2010,(04):0.
[6]韩雪玲.妊娠期合并尖锐湿疣200例治疗方法比较[J].中国计划生育和妇产科,2011,(04):0.
　HAN Xue-ling.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(8):0.
[7]张帆.孕妇哮喘及其安全监护[J].中国计划生育和妇产科,2011,(05):0.
　ZHANG Fan Chinese Medical Doctor Association in Beijing,Beijing 000,P.R.China.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(8):0.
[8]范从红,干晓琴,张凌,等.腹腔镜子宫肌瘤剥除术84例分析[J].中国计划生育和妇产科,2011,(06):0.
　FAN Cong-hong,GAN Xiao-qin,ZHANG Ling.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(8):0.
[9]石一复.子宫肌瘤药物和微创治疗的现况和趋向[J].中国计划生育和妇产科,2012,(03):0.
　SHI Yi - fu Womens Hospital,School of Medicine,Zhejiang University,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2012,(8):0.
[10]李晓伟,王建六.子宫肌瘤的病因[J].中国计划生育和妇产科,2012,(03):0.
　LI Xiao-wei,WANG Jian-liu *.[J].Chinese Journal of Family Planning & Gynecotokology,2012,(8):0.
[11]莫丽芳.剖宫产手术中行子宫肌瘤剔除术体会[J].中国计划生育和妇产科,2010,(04):0.
　MO Li-fang Shilong Peoples hospital of Dongguan city,Dongguan Guangdong,China.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(8):0.
[12]韩玉新,袁晓雁,郜小燕,等.剖宫产同时切除子宫肌瘤75例临床分析[J].中国计划生育和妇产科,2015,(10):0.
　HAN Yu-xin,YUAN Xiao-yan,GAO Xiao-yan,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2015,(8):0.
[13]张飞,朱大伟,李力*.妊娠合并子宫肌瘤的处理[J].中国计划生育和妇产科,2019,(2):30.

更新日期/Last Update: 2017-08-25