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首页> 外文期刊>Journal of Clinical and Diagnostic Research >The Utility of Caesarean Myomectomy as a Safe Procedure: A Retrospective Analysis of21 Cases with Review of Literature
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The Utility of Caesarean Myomectomy as a Safe Procedure: A Retrospective Analysis of21 Cases with Review of Literature

机译：剖宫产子宫肌瘤切除术作为一种安全的程序的实用性：回顾性分析21例文献复习。

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Background: Myomectomy at the time of caesarean delivery has been discouraged because of the risk of intractable haemorrhage and increased postoperative morbidity. The aim of this study is to determine the safety and feasibility of caesarean myomectomy. Materials and Methods: A retrospective case control study done between June 2012 to May 2013 in a tertiary care teaching hospital in Karnataka, India which included 21 pregnant women with uterine fibroids who underwent myomectomy during caesarean section and were compared with 42 matched controls without uterine fibroids who had caesarean section alone during the same period. Primary outcome measures studied were incidence of haemorrhage and need for blood transfusion. Secondary outcome measures were duration of operation, length of hospital stay, postpartum fever and wound infection. Statistical analysis is done using IBMSPSS 20.0 software and students t-test. For calculation of incidence of haemorrhage Fisher?s exact test is used. Results: Mean age of the 21 cases was 31.81yrs and 47.62% were primigravida. Total 37 fibroids were removed. Subserosal were 30 cases(81.08%) while 1(2.07%) was submucous. 21(56.76%)fibroids were situated in fundal region and 3(8.11%) were in lower segment. Mean change in the haemoglobin from preoperative to postoperative period in the cases was 1.3gm/dl(±1.155mg/dl) and control was 1.05% (±.854mg/dl). Two of the cases(9.52%) required blood transfusion compared to none in control. None in either group required hysterectomy. Mean duration of surgery was 68.57min (±15.012min)and 51.55min (±9.595min) for controls which is statistically significant. Conclusion: This study shows that myomectomy during caesarean section is a safe procedure and is not associated with major intraoperative and postoperative complications.
机译：背景：由于顽固性出血的风险和术后发病率增加，不建议剖腹产时进行子宫肌瘤切除术。这项研究的目的是确定剖宫产子宫切除术的安全性和可行性。资料和方法：2012年6月至2013年5月间在印度卡纳塔克邦的三级教学医院进行的病例回顾性研究，包括21例子宫肌瘤孕妇在剖腹产时行了子宫肌瘤切除术，并与42例无子宫肌瘤的对照组进行了比较。在同一时期单独剖腹产的人。研究的主要结局指标是出血发生率和输血需求。次要结果指标是手术时间，住院时间，产后发热和伤口感染。使用IBMSPSS 20.0软件和学生t检验进行统计分析。为了计算出血的发生率，使用了Fisher精确检验。结果：21例平均年龄为31.81岁，初产妇占47.62％。总共去除了37个肌瘤。浆膜下30例（81.08％），粘膜下1例（2.07％）。 21例（56.76％）肌瘤位于眼底区域，其中3例（8.11％）位于子宫下端。术前至术后血红蛋白的平均变化为1.3gm / dl（±1.155mg / dl），对照组为1.05％（±.854mg / dl）。与对照组相比，其中有2例（9.52％）需要输血。两组均无子宫切除术。对照组的平均手术时间为68.57min（±15.012min）和51.55min（±9.595min），具有统计学意义。结论：这项研究表明，剖宫产术中的子宫肌瘤切除术是一种安全的方法，并且与主要的术中和术后并发症无关。

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