在剖宫产术中开展传统方法与挤压法剔除子宫肌瘤的效果对照分析(1)
【摘要】 目的 分析对比在剖宫产术中开展传统方法与挤压法剔除子宫肌瘤的效果。方法 116例剖宫产术中需行剔除子宫肌瘤患者， 按照随机数表法分为对照组(行剖宫产术+传统手术方法剔除子宫肌瘤)和研究组(行剖宫产术+挤压法剔除子宫肌瘤)， 各58例。比较两组临床效果。结果 研究组产后出血量低于对照组， 差异具有统计学意义(P<0.05)；两组手术时间、红细胞压积(HCT)下降量、血红蛋白(Hb)下降量以及住院时间对比， 差异均无统计学意义(P>0.05)。研究组产后出血率为0， 低于对照组的10.34%， 差异具有统计学意义(P<0.05)；两组产后发热发生率对比差异无统计学意义(P>0.05)。
结论 相较于传统方法， 在剖宫产术中开展挤压法剔除子宫肌瘤可以有效降低产后出血量， 操作简便、安全可靠， 值得临床推广。
【关键词】 剖宫产术；传统方法；挤压法；子宫肌瘤
DOI：10.14163/j.cnki.11-5547/r.2018.08.012
Comparative analysis of the effect of traditional method and extrusion method in cesarean section to eliminate uterine fibroids LYU Xing-heng. Guangdong Zhongshan Banfu Hospital， Zhongshan 528459， China
【Abstract】 Objective To analyze and compare the effect of traditional method and extrusion method in cesarean section to eliminate uterine fibroids. Methods A total of 116 patients requiring elimination of uterine fibroids in cesarean section were divided by random number table method into control group (cesarean section + traditional method for elimination of uterine fibroids) and research group (cesarean section + extrusion method for elimination of uterine fibroids)， with 58 cases in each group. The clinical effect in two groups was compared. Results The research group had lower postpartum hemorrhage than the control group， and the difference was statistically significant (P<0.05). Both groups had no statistically significant difference in operation time， decline of hematocrit (HCT)， decline of hemoglobin (Hb) and hospitalization time (P>0.05). The research group had lower postpartum hemorrhage rate as 0， than 10.34% in the control group， and the difference was statistically significant (P<0.05). Both groups had no statistically significant difference in incidence of postpartum fever (P>0.05). Conclusion Compared with traditional method， implementation of extrusion method for elimination of uterine fibroids in cesarean section can effectively reduce postpartum hemorrhage with simple operation. It is safe and reliable， and is worthy of clinical promotion.
【Key words】 Cesarean section； Traditional method； Extrusion method； Uterine fibroids
子宫肌瘤是妊娠患者常見的合并症， 其发生率占0.4%～ 8.2%[1]。有研究发现， 妊娠期子宫肌瘤可能降低产后子宫收缩作用， 增加出血量， 甚至诱发至宫内感染， 给患者的妊娠质量造成了巨大的影响[2]。近年来， 随着妇产科手术技术的不断发展与进步， 临床更倾向于剖宫产术中开展子宫肌瘤剔除术， 以便提高患者产后的恢复效果。然而， 剖宫产术中开展子宫肌瘤剔除术仍存在一定的危险性， 主要表现为产后出血方面， 因此探寻一种有效且安全的式术解决剖宫产术中剔除子宫肌瘤所致出血量问题十分必要[3]。2015年1月～2016年12月本院对116例妊娠合并子宫肌瘤患者， 在剖宫产术中分别采用了传统方法与挤压法处理， 评价两种操作的实施效果， 以期为完善产科手术方案提供可靠的依据。
1 资料与方法, 百拇医药(吕杏恒)
结论 相较于传统方法， 在剖宫产术中开展挤压法剔除子宫肌瘤可以有效降低产后出血量， 操作简便、安全可靠， 值得临床推广。
【关键词】 剖宫产术；传统方法；挤压法；子宫肌瘤
DOI：10.14163/j.cnki.11-5547/r.2018.08.012
Comparative analysis of the effect of traditional method and extrusion method in cesarean section to eliminate uterine fibroids LYU Xing-heng. Guangdong Zhongshan Banfu Hospital， Zhongshan 528459， China
【Abstract】 Objective To analyze and compare the effect of traditional method and extrusion method in cesarean section to eliminate uterine fibroids. Methods A total of 116 patients requiring elimination of uterine fibroids in cesarean section were divided by random number table method into control group (cesarean section + traditional method for elimination of uterine fibroids) and research group (cesarean section + extrusion method for elimination of uterine fibroids)， with 58 cases in each group. The clinical effect in two groups was compared. Results The research group had lower postpartum hemorrhage than the control group， and the difference was statistically significant (P<0.05). Both groups had no statistically significant difference in operation time， decline of hematocrit (HCT)， decline of hemoglobin (Hb) and hospitalization time (P>0.05). The research group had lower postpartum hemorrhage rate as 0， than 10.34% in the control group， and the difference was statistically significant (P<0.05). Both groups had no statistically significant difference in incidence of postpartum fever (P>0.05). Conclusion Compared with traditional method， implementation of extrusion method for elimination of uterine fibroids in cesarean section can effectively reduce postpartum hemorrhage with simple operation. It is safe and reliable， and is worthy of clinical promotion.
【Key words】 Cesarean section； Traditional method； Extrusion method； Uterine fibroids
子宫肌瘤是妊娠患者常見的合并症， 其发生率占0.4%～ 8.2%[1]。有研究发现， 妊娠期子宫肌瘤可能降低产后子宫收缩作用， 增加出血量， 甚至诱发至宫内感染， 给患者的妊娠质量造成了巨大的影响[2]。近年来， 随着妇产科手术技术的不断发展与进步， 临床更倾向于剖宫产术中开展子宫肌瘤剔除术， 以便提高患者产后的恢复效果。然而， 剖宫产术中开展子宫肌瘤剔除术仍存在一定的危险性， 主要表现为产后出血方面， 因此探寻一种有效且安全的式术解决剖宫产术中剔除子宫肌瘤所致出血量问题十分必要[3]。2015年1月～2016年12月本院对116例妊娠合并子宫肌瘤患者， 在剖宫产术中分别采用了传统方法与挤压法处理， 评价两种操作的实施效果， 以期为完善产科手术方案提供可靠的依据。
1 资料与方法, 百拇医药(吕杏恒)