| 摘要: |
| ［摘要］ 目的 探讨剖宫产术中同时行子宫肌瘤剔除术加B-lynch缝合术治疗妊娠合并子宫肌瘤的临床疗效。方法 剖宫产同时行子宫肌瘤剔除术加B-lynch缝合术的44例为观察组，选择同期单纯剖宫产术、产后择期子宫肌瘤剔除术44例为对照组，对两组各项指标进行比较分析。结果 观察组手术操作时间较对照组长，平均术中失血量较对照组每例多约100 ml，差异有统计学意义（P<0.01）。两组术后肛门排气时间、产褥感染率、产后出血率、术后住院时间以及产后恶露干净时间比较，差异均无统计学意义（P>0.05）。结论 在病例选择合适的情况下，剖宫产术中同时行子宫肌瘤剔除术加B-lynch缝合术，并不明显增加手术难度、出血量以及术后并发症，能够减轻患者再次手术治疗的心理和经济负担，具有可行性和临床应用价值，值得推广。 |
| 关键词: 剖宫产 子宫肌瘤 B-lynch缝合术 |
| DOI：10.3969/j.issn.1674-3806.2015.01.09 |
| 分类号:R 714 |
| 基金项目: |
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| Clinical efficacy of myomectomy and B-lynch suture during cesarean section: report of 44 cases |
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DAI Bin, CHEN Yan-qin, WEN Jing-huan
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Department of Obstetrics and Gynecology, the People′s Hospital of Daojiao Town,Dongguan City, Guangdong 523176, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical efficacy of myomectomy and B-lynch suture during cesarean section in pregnant women with hysteromyoma.Methods Forty-four pregnant women with hysteromyoma undergoing myomectomy and B-lynch suture during cesarean section were selected for the observation group,and at the same time, other 44 pregnant women with hysteromyoma undergoing cesarean section and puerperal myomectomy were selected for the control group.The observation indexes were compared between two groups.Results The operation time of observation group was longer than that of the control group. The average intraoperative blood loss in observation group was 100 ml more than the control group in each case(P<0.01).There were no significant difference between two groups in the anal exhaust time after operation, the puerperal infection rate, the rate of postpartum hemorrhage, the hospitalization time after operation and the time of lochia(P>0.05）.Conclusion Under the condition of appropriate cases，uterine myomectomy and B-lynch suture during cesarean section does not significantly increase operation difficulty,the bleeding volume postoperative complications, but reduces the re-operation treatment and reduces the economic burden of the patients. |
| Key words: Cesarean section Hysteromyoma B-lynch suture |
