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安全性和可行性。方法：回顾性分析我院86例剖宫产同时行子宫肌瘤剥除术，与同期80例单纯行剖宫产术的产妇对照。结果：术中出血量、术后24h出血量、术后病率、住院时间肌瘤剔除组与单纯剖宫产组比较差异无显著意义(P>0.05)；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)。结论：剖宫产术同时应尽量行子宫肌瘤剔除术。

    关键词： 妊娠； 子宫肌瘤； 剖宫产术

    Hysterectomy Formed during Cesarean section:Ananalysis of 86 cases

    LI Yan-ling, ZHANG Yi-mei

    (Ruikang Hospital,Guangxi Traditional Chinese Medicine University，Guangxi Nanning 530011,China)

    Abstract： Objective: To study the safety and feasibility of hysterectomy in pregnant women with hystermyoma during cesarean section. Method: Retrospective analysis 86 pregnant women with hystermyoma. received hysterectomy in the process of cesarean section in our hospital , which were compared with 80 pregnant women with simple cesarean section. Result: There was no significant difference in hemorrhage of operation , bleeding volume of bleeding of 24 hours after operation, puerperal infection and days inpatient after operation between hysterectomy group and simple cesarean section group(P>0.05).There was significant difference in time spending on operation between hysterectomy group and simple cesarean section group(P<0.05).Conclusion: Removing hystermyoma when performing cesarean section should be encouraged. ......