【摘要】 目的 探讨合并子宫肌瘤的妊娠晚期患者行剖宫产术加肌瘤剔除术的应用指征及临床疗效。方法 回顾性分析我院收治的30例合并子宫肌瘤的妊娠晚期患者的临床资料，均具有产科剖腹指征，施行了剖宫产术同时行肌瘤剔除术。结果 30例患者，手术均获成功，手术失血量和手术时间没有显著增加，无术后出血、感染等严重并发症发生。结论 具有手术指征的合并子宫肌瘤的妊娠晚期患者行剖宫产术加肌瘤剔除术没有增加手术风险，具有可行性。

    【关键词】 子宫肌瘤 妊娠 剖宫产术 肌瘤剔除术

    【中图分类号】 R71【文献标识码】 A【文章编号】 1674-0742(2012)04(b)-0039-02

    The Clinical Efficacy of Cesarean Section Plus Myomectomy in Late Pregnancy

    LI Xiaopei CHANG Yuxia

    Department of obstetrics and gynecology the second affiliated hospital of luohe medical college,Henan 462000,China

    【Abstract】 Objective To investigate the indications and clinical applications of cesarean section plus myomectomy in patients in late pregnancy with uterine fibroids.Methods A retrospective analysis of clinical data of 30 cases in late pregnancy with uterine fibroids in our hospital,all of them with obstetric indications for caesarean section, they were implemented of a cesarean section and myomectomy.Results The operations were successful, surgical blood loss and operative time did not increase significantly,no postoperative bleeding, infection and other serious complications.Conclusion The patients in late pregnancy with uterine fibroids had indications for surgery,they were implemented of a cesarean section and myomectomy.It did not increase the risk of surgery, It was feasible. ......