PDF(Pubmed)
Abstract：
Uterine fibroids are common benign tumors found in fertile women. Numerous obstetrical issues, such as dystocia during labor, fetal hypotrophy, a ruptured amniotic sac, early labor, low-birth-weight newborns, etc., are associated with fibrous pregnant uteri. Cesarean myomectomy is not a common procedure because of the possibility of postpartum hysterectomy or a potentially lethal hemorrhage. For the chosen topic, we present two instances of emergency postpartum hysterectomies following cesarean myomectomy. After a cesarean myomectomy, two women experienced a perioperative hemorrhage that required a postpartum hysterectomy without a salpingo-oophorectomy. A postpartum hysterectomy was required in every instance due to the failure of additional hemostatic techniques to control the bleeding after the cesarean myomectomy. In every case, the location and number of fibroids-rather than their size-were the primary factors leading to the postpartum hysterectomy. In order to ensure that the patient is safe and that the advantages outweigh the dangers, the current trends in cesarean myomectomy include aiming to conduct the procedure either electively or when it offers an opportunity. The treatment is still up for debate because it is unknown how dangerous a second hysterectomy is for people who have had a cesarean myomectomy.
摘要：
子宫肌瘤是在有生育能力的妇女中发现的常见良性肿瘤。许多产科问题，如分娩时难产，胎儿肥大,羊膜囊破裂,早产,低出生体重新生儿,等。,与纤维状妊娠子宫有关。剖宫产子宫肌瘤切除术不是常见的手术，因为产后子宫切除术的可能性或潜在的致命出血。对于选择的主题，我们介绍了剖宫产子宫肌瘤切除术后紧急产后子宫切除术的两种情况。剖宫产子宫肌瘤切除术后,两名妇女经历了围手术期出血,需要进行产后子宫切除术而不进行输卵管卵巢切除术.由于剖宫产子宫肌瘤切除术后其他止血技术无法控制出血，因此在每种情况下都需要进行产后子宫切除术。在任何情况下,子宫肌瘤的位置和数量,而非大小,是导致产后子宫切除术的主要因素.为了确保病人安全,利大于弊,剖宫产子宫肌瘤切除术的当前趋势包括旨在选择性或在提供机会时进行手术。治疗仍有争议，因为尚不清楚第二次子宫切除术对剖宫产子宫肌瘤切除术的患者有多危险。
