子宫肌瘤剔除术后生育状况及影响妊娠因素分析.docVIP

子宫肌瘤剔除术后生育状况及影响妊娠因素分析 　　【摘要】 目的：探究子?m肌瘤剔除术后生育状况及相关因素。方法：随机选取2007年1月-2013年3月在本院行腹腔镜下子宫肌瘤剔除术治疗的子宫肌瘤患者100例作为观察组，同时选择同期单纯行开腹子宫肌瘤剔除术的100例子宫肌瘤患者作为对照组，记录患者子宫肌瘤的大小、形态、数目及生长位置等，比较两组治疗后子宫肌瘤残留、复发、术后并发症及生育情况。结果：观察组术中出血量、平均住院时间、术后排气时间等均明显少于对照组（P0.05）；观察组术后感染例数明显少于对照组（P0.05）；对照组术后子宫肌瘤残留、复发例数均明显少于观察组（P0.05）；两组生育情况比较差异有统计学意义（ 字2=4.016，P0.05）；子宫肌瘤较小、数目少、肌瘤位置在子宫后壁、子宫形态正常的患者术后妊娠成功的概率较大，但差异均无统计学意义（P0.05）；年龄小、不孕年限短的患者术后孕育的概率较大（P0.05）。结论：子宫肌瘤会导致患者不孕，但治疗及时还是可以治愈的，同时对以后的妊娠无明显影响。开腹手术子宫肌瘤剔除术肌瘤残留、复发率低，腹腔镜子宫肌瘤剔除术妊娠率高，临床中可根据不同的需要选择不同的术式。 　　【关键词】 腹腔镜手术； 子宫肌瘤剔除术； 剖宫产； 影响因素； 妊娠结局 　　Analysis of Fertility Status and Influence Factors of Pregnancy after Uterine Myoma/PAN Cheng-rong，WANG Jing-xian，LIU Feng-lian，et al.//Medical Innovation of China，2016，13（33）：100-103 　　【Abstract】 Objective：To explore myomectomy after birth condition and related factors.Method：100 cases of uterine myoma treated by laparoscopic uterine myoma in our hospital from January 2007 to March 2013 were selected as the observation group，at the same time，100 cases of uterine fibroids were selected as the control group，the size，shape，number and growth position of uterine myoma were recorded，and the residual，recurrence，postoperative complications and fertility of the two groups were compared.Result：In the observation group，the amount of bleeding，average hospitalization time，postoperative exhaust time were significantly less than those of the control group（P0.05）.Small age，short duration of infertility patients with a greater probability of birth （P0.05）.Conclusion：Patients with uterine fibroids can cause infertility，but timely treatment can still be cured，while the later pregnancy is not affected.Laparotomy myomectomy fibroids residue，low recurrence rate，laparoscopic myomectomy in clinical pregnancy rate is high，according to the different needs of different. 　　【Key words】 Laparoscopic surgery； Myomectomy； Cesarean section； Influencing factor； Pregnancy outcome 　　First-author’s address：Dalingshan Hospital of Dongguan City，Dong