Objective To investigate the clinical efficacy of cesarean section and myomectomy for pregnant women with uterine leiomyoma.
Methods A total of 80 pregnant women with uterine leiomyoma admitted to our hospital were randomly divided into control group(n=40) and observation group(n=40) by computer. The control group received cesarean section alone when delivery, and underwent selective surgery for hysteromyoma resection. The observation group received hysteromyomectomy during the same period of cesarean section. The perioperative clinical indicators, postpartum complications and neonatal health status were compared between the two groups.
Results The surgeries were successfully completed in both groups, and no massive hemorrhage occurred in the observation group. The operation time of the observation group was significantly longer than that of the control group (P < 0.05), but there were no significant differences in intraoperative bleeding volume, Visual Analogue Scale(VAS) score after 1 d of operation, anal exhaust time and hospitalization time between the two groups (P > 0.05); no significant differences in postoperative bleeding volume, duration of lochia, menstrual recovery time, incidences of puerperal infection and incision infection betweenthe two groups were observed(P > 0.05); there were no significant differences in body weight at birth, body length, 5 min Apgar score and neonatal asphyxia rate (P > 0.05).
Conclusion Cesarean section and myomectomy are safe and feasible for pregnant women with uterine leiomyoma, which has no impact on the health of puerperas and infants and can avoid trauma caused by secondary surgery.
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