|本期目录/Table of Contents|

[1]李彩云,张峥程,毛静月.剖宫产术同时剔除子宫肌瘤136例临床分析[J].医学研究与战创伤救治(原医学研究生学报),2010,12(06):497-499.
　LI Cai-yun,ZHANG Zheng-cheng,MAO Jing-yue..Clinical analysis of 136 cases of cesarean combined with myomectomy[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(06):497-499.
点击复制

剖宫产术同时剔除子宫肌瘤136例临床分析()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第12卷
期数:
2010年06期
页码:
497-499
栏目:
出版日期:
2010-11-20

文章信息/Info

Title:
Clinical analysis of 136 cases of cesarean combined with myomectomy
文章编号:
1672-271X(2010)06-0497-03
作者:
李彩云; 张峥程; 毛静月
310013 浙江杭州，解放军117医院妇产科
Author(s):
LI Cai-yun; ZHANG Zheng-cheng; MAO Jing-yue.
Department of Obsterics and Gynecology,117 Hospital of PLA,Hangzhou,Zhejiang 310013，China
关键词:
妊娠; 子宫肌瘤; 剖宫产; 肌瘤剔除; 安全性; 方法
Keywords:
pregnancy;  hysteromyoma;  cesarean section;  myomectomy;  safety;  methods
分类号:
R737.33
DOI:
-
文献标志码:
A
摘要:
目的探讨妊娠合并子宫肌瘤剖宫产术同时行肌瘤剔除的方法、安全性、可行性。方法回顾性分析我院136例剖宫产术同时行子宫肌瘤剔除，与同期150例单纯行剖宫产术的产妇对照。观察比较两组产妇术中出血量、术后2~24 h出血量、平均手术时间、术后病率、恢复肛门排气时间、切口愈合及术后住院天数。结果术后2~24 h出血量、术后病率、恢复肛门排气时间、切口愈合、术后住院天数两组比较差异无显著意义(P>0.05)，术中出血量、手术时间肌瘤剔除组与单纯剖宫产组比较差异有显著意义(P<0.05)。产后42 d复诊，剖宫产术同时行子宫肌瘤剔除的患者，子宫大小均恢复正常。结论剖宫产术同时行肌瘤剔除是安全、可行的，同时也避免再次手术增加患者的痛苦和经济负担。
Abstract:
ObjectiveTo explore the safety, methods and feasibility of myomectomy during cesarean section. MethodsThe clinical data of 136 cases (study group) receiving myomectomy during cesarean section were retrospectively analyzed and compared with those of 150 cases of normal cesarean section. ResultsBetween normal cesarean section group and study group, there were no significant difference in vaginal hemorrhage in 2-24 h after operation, the cotton-padded mattress disease, the time of anal air exhaust, wound healing and postoperative hospital stay (P>0.05). There was significant difference in operative blood loss, operation time (P<0.05). Further consultation in 42 days after operation of myomectomy during cesarean section showed the size of uterus got back. ConclusionMyomectomy during cesarean section is safe and feasible for appropriate cases.

参考文献/References:

[1]乐杰.妇产科学[M].7版 北京:人民卫生出版社,2008:272-274.
[2]Cunningham FG,Gant NF,Leveno KJ,et al.Williams Obstetrics[M].21StEdition.New York:Me Graw-Hill,2001:930.
[3]冯丽娟,王岚,刘菊莲,等.妊娠合并子宫肌瘤剖宫产时处理方法的探讨[J].中国计划生育学杂志,2005,13(5):301-302.
[4]赖瑞霞,房瑞林,林秋兰.剖宫产同时行子宫肌瘤剔除术108例分析[J].实用医技杂志,2008,15(32):4643-4645.
[5]贾玉芳.剖宫产术时行子宫肌瘤剔除53例分析[J].当代医学,2010,16(4):144-145.
[6]郑丽璇,徐采生.妊娠合并子宫肌瘤117例的并发症和处理[J].中国实用妇科与产科杂志,2002,18(12):745.
[7]宋雪凌,杨孜.妊娠合并子宫肌瘤[J].中国妇产科临床杂志,2005,6(4):309-311.
[8]Liu WM,Wang PH,Tang WL,et al. Uterine artery ligation for treatment of pregnant women with uterine leiomyomas who are undergoing caesarean section [J].Fertil Steril,2006,86(2):423-428.

相似文献/References:

[1]周岳进.妊娠期妇女慢性乙型肝炎患者核苷(酸)类似物抗病毒治疗[J].医学研究与战创伤救治(原医学研究生学报),2013,15(03):279.[doi:10.3969/j.issn.1672-271X.2013.03.023]
[2]徐 涛,秦秀朵,司园园,等.高强度聚焦超声治疗子宫肌瘤临床研究[J].医学研究与战创伤救治(原医学研究生学报),2012,14(04):325.
　XU Tao,QIN Xiu-duo,SI Yuan-yuan,et al.Clinical study of high intensity focused ultrasound in treatment of hysteromyoma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(06):325.
[3]曹艳春,范国峰.两种无创通气模式治疗妊娠合并急性心源性肺水肿的临床观察[J].医学研究与战创伤救治(原医学研究生学报),2012,14(04):336.
　CAO Yan-chun,FAN Guo-feng..Clinical observation of two models of noninvasive ventilation and oxygen in treatment of pregnant women with acute cardiogenic pulmonary edema[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(06):336.
[4]尹 英,徐 辉,毛 钊,等.口腔卫生宣教对孕妇牙周健康状况的影响[J].医学研究与战创伤救治(原医学研究生学报),2011,13(02):143.
　YIN Ying,XU Hui,MAO Zhao,et al.The effect of oral health instruction on the periodontal status of pregnant women[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(06):143.
[5]李云莉,张 秦综述,管 群,等.妊娠合并急性胰腺炎诊治分析[J].医学研究与战创伤救治(原医学研究生学报),2011,13(05):435.
[6]胡文星,车敦发,管海宏,等.妊娠合并皮肌炎1例[J].医学研究与战创伤救治(原医学研究生学报),2010,12(05):444.
[7]张坚,骆文香,于琴,等.射频消融术治疗子宫肌瘤165例疗效观察[J].医学研究与战创伤救治(原医学研究生学报),2010,12(06):509.
　ZHANG Jian,LUO Wen-xiang,YU Qin,et al.Evaluation of curative effect of radiofrequency ablation on 165 cases of hysteromyoma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2010,12(06):509.
[8]郑 青,刘 华,苏丽容.重型肝炎患者产后护理[J].医学研究与战创伤救治(原医学研究生学报),2010,12(01):41.
[9]朱春林,李 萍.妊娠中晚期537例心电图分析[J].医学研究与战创伤救治(原医学研究生学报),2009,11(03):243.
[10]杨欲晓,杨宏亮,李发兵,等.超声引导瘤内注射不同硬化剂治疗子宫肌瘤63例疗效对比[J].医学研究与战创伤救治(原医学研究生学报),2015,17(02):160.[doi:10.3969/j.issn.1672-271X.2015.02.015]
　YANG Yu-xiao,YANG Hong-liang,LI Fa-bing,et al.Comparison of curative effect on 63 cases of ultrasonic inducing inter-tumor injection of different sclerosant on hysteromyoma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(06):160.[doi:10.3969/j.issn.1672-271X.2015.02.015]

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2010-11-20