發(fā)布時(shí)間：2018-04-17 21:48

  本文選題：子宮肌瘤切除術(shù)后 + 藥物流產(chǎn)術(shù)��； 參考：《中國(guó)婦產(chǎn)科臨床雜志》2017年04期

【摘要】：目的探討早孕合并子宮肌瘤切除術(shù)史患者的終止妊娠方式及子宮肌瘤切除對(duì)人工流產(chǎn)術(shù)(人流)并發(fā)癥的影響。方法回顧性分析52例宮內(nèi)妊娠6~10周合并子宮肌瘤、子宮腺肌瘤切除史患者的臨床資料,同時(shí)選取60例無(wú)子宮肌瘤切除史早孕婦女為對(duì)照組,其中超聲引導(dǎo)下人工流產(chǎn)30例、藥物流產(chǎn)(藥流)30例。結(jié)果 52例患者中宮腔鏡下黏膜下肌瘤切除術(shù)10例,腹腔鏡下29例,開腹13例;合并子宮腺肌7例;單發(fā)子宮肌瘤或腺肌瘤34例,多發(fā)子宮肌瘤18例;術(shù)前肌瘤最大直徑1.5~11 cm,直徑≥5 cm 40例,5 cm 12例;肌瘤切除距離妊娠時(shí)間8個(gè)月~15年;9例胎囊距離子宮漿膜層小于1 cm,均經(jīng)MRI檢查排除胎囊子宮肌層種植。23例采用超聲引導(dǎo)下負(fù)壓電吸人工流產(chǎn)術(shù),均為一次成功,23例B超監(jiān)視下,與其人流對(duì)照組比較,手術(shù)時(shí)間明顯延長(zhǎng)(P0.05),但術(shù)中出血量及術(shù)后殘留率比較,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。29例(包括胎囊距離子宮漿膜層小于1 cm 9例)藥物流產(chǎn)術(shù),殘留率為27.59%,明顯高于其藥流對(duì)照組(P0.05)。結(jié)論對(duì)于早孕合并子宮肌瘤切除術(shù)史患者,超聲引導(dǎo)下人流術(shù)定位準(zhǔn)確、損傷性小,明顯減少了術(shù)后殘留,手術(shù)安全性高;對(duì)于可能存在子宮切口愈合欠佳者,藥物流產(chǎn)可減少嚴(yán)重并發(fā)癥的發(fā)生。
[Abstract]:Objective to investigate the termination of pregnancy in patients with early pregnancy complicated with hysteromyomectomy and the effect of hysterectomy on complications of induced abortion.Methods the clinical data of 52 cases of intrauterine pregnancy with uterine leiomyoma and adenomyoma resection history were analyzed retrospectively. 60 cases of early pregnancy without hysterectomy were selected as control group, including 30 cases of ultrasonic guided induced abortion.Drug abortion (30 cases).Results among 52 patients, 10 cases underwent hysteroscopic submucous myoma resection, 29 cases underwent laparoscopy, 13 cases underwent laparotomy, 7 cases complicated with adenomyoma, 34 cases with single uterine myoma or adenomyoma, 18 cases with multiple uterine myoma.Before operation, the maximum diameter of myoma was 1.5 ~ 11 cm, the diameter 鈮，

本文編號(hào)：1765405