Li Hui, Du Juan, Jin Liangyi, Shi Zhan, Liu Mingying
Department of Obstetrics and Gynecology, Shengjing Hospital, China Medical University, Shenyang, China.
Acta Obstet Gynecol Scand. 2009;88(2):183-6. doi: 10.1080/00016340802635526.
To evaluate the safety and effectiveness of myomectomy during cesarean section (CS). Design. Retrospective case-control study.
Tertiary referral university hospital.
A study group of 1,242 pregnant women with fibromyomas who underwent myomectomy during CS and three control groups of 200 matched pregnant women without fibromyomas who underwent CS deliveries (Group A), 145 patients with fibromyomas who underwent CS deliveries without removal of fibromyomas (Group B) and 51 patients with fibromyomas who had a hysterectomy during CS (Group C).
The difference between pre- and postoperative hemoglobin levels, the incidence of hemorrhage, blood transfusion, postoperative fever, duration of operation and length of hospital stay.
No difference was found in the median parity or mean gestational age, but maternal age was higher and the gestational age lower in Group C than the study group. The median number and diameter of fibromyomas in Group B were lower than in the study group. Compared to the study group, Group B women had more single fibromyomas, while those in Group C had more multiple fibromyomas. Group B had more uterine cornual fibromyomas than the study group. There were no differences in the mean hemoglobin change, the incidence of postoperative fever and the length of hospital stay among groups.
Myomectomy during CS was a safe and an effective procedure.
评估剖宫产术中肌瘤切除术的安全性和有效性。设计：回顾性病例对照研究。
三级转诊大学医院。
研究组为1242例患有纤维瘤的孕妇，她们在剖宫产术中接受了肌瘤切除术；三个对照组分别为200例匹配的未患纤维瘤的孕妇，她们接受了剖宫产分娩（A组）；145例患有纤维瘤的患者，她们接受了剖宫产分娩但未切除纤维瘤（B组）；51例患有纤维瘤的患者，她们在剖宫产术中接受了子宫切除术（C组）。
术前和术后血红蛋白水平的差异、出血发生率、输血情况、术后发热、手术时间和住院时间。
各组间中位产次或平均孕周无差异，但C组产妇年龄高于研究组，孕周低于研究组。B组纤维瘤的中位数量和直径低于研究组。与研究组相比，B组女性单发性纤维瘤更多，而C组多发性纤维瘤更多。B组子宫角部纤维瘤比研究组更多。各组间平均血红蛋白变化、术后发热发生率和住院时间无差异。
剖宫产术中肌瘤切除术是一种安全有效的手术。
