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[摘要] 目的 探讨妊娠合并子宫肌瘤在剖宫产时肌瘤的处理方法。方法 回顾性分析106例妊娠合并子宫肌瘤的患者资料，总结最合理的治疗方式。结果 106例中行剖宫产者91例，占85.8％，阴道分娩者15例，占14.2％。子宫肌瘤使剖宫产率提高。剖宫产术中行肌瘤剔除，未明显增加手术出血量。结论 妊娠合并子宫肌瘤应在行剖宫产时应尽量同时剔除肌瘤，以免患者受二次手术的痛苦。
[关键词] 妊娠；子宫肌瘤；剖宫产；切除
[中图分类号] R719.8 [文献标识码] A[文章编号] 1673-9701（2009）12-74-02
Investigating the Effect and Feasibility of Ectomying Uterine Fibroids for Parturients
XIA LibinYU Guiying
Department of Obstetrics，the Second Affiliated Hospital of Kunming Medical College，Kunming 650101
[Abstract] Objective The discussion pregnancy merge fibroid when splits the palace produces the myoma processing question. Methods Review analysis 106 example pregnancy merge fibroid patient material. Results In 106 examples the line splits the palace producing 91 examples，accounts for 85.8%，the vagina childbirth 15 examples，accounts for 14.2%.The fibroid causes to split the palace production rate enhancement. Splits the palace to produce in the technique the good myoma to reject，not obvious increase surgery hemorrhage quantity. Conclusion The pregnancy merge fibroid should be an expert to good expert splits the palace produces when should as far as possible simultaneously reject the myoma，in order to avoid the patient receives two time surgery the pain.
[Key Words] Effect and feasibility；Ectomying uterine fibroids；Parturients.
子宫肌瘤是育龄妇女最常见的一种良性肿瘤，妊娠合并子宫肌瘤发病率在0.3％～7.2％[1]，因妊娠合并子宫肌瘤可在妊娠、分娩及产褥期发生各种与肿瘤有关的并发症，对妊娠与分娩均有一定的影响。近年来由于晚婚、高龄分娩的增多，B超技术的提高及剖宫产率的上升，术中遇到并发子宫肌瘤也增多。在剖宫产时，是否同时行子宫肌瘤剔除手术，争议较多，本文对我院近4年来妊娠合并子宫肌瘤的病例进行回顾性分析，现总结报道如下。
1临床资料
1.1一般资料
2003年l2月～2007年l2月我院妊娠合并子宫肌瘤住院患者106例，年龄最小22岁，最大42岁，平均（28±3.6）岁。初产妇61例，占57.5％，经产妇45例，占42.5％。孕龄
