摘要
目的:研究子宫肌瘤术后对不孕妇女生育结局的影响。方法:选择2009年1月至2011年4月在我院行子宫肌瘤手术的165例患者为研究对象,收集所有患者临床的基本资料、肌瘤的特征信息以及术后随访信息。结果:不孕妇女行子宫肌瘤术后共有75名患者妊娠,总共妊娠80次。总的妊娠率为45.45%。正常活产胎儿数共58例,活产率为72.5%。分娩方式主要是以剖宫产为主,占了81.03%。将所有研究对象根据妊娠结局的不同,分为妊娠组和未妊娠组,妊娠娠组和未妊娠组在年龄、不孕时间、不孕类型、肌瘤数目和肌瘤类型等方面比较,差异均有统计学意义(P<0.05)。结论:并发子宫肌瘤的不孕妇女实行子宫切除术能提高妊娠率和活产率,分娩方式主要以人工分娩为主,患者的年龄越大,肌瘤类型以多发为主,妊娠率越低,故子宫肌瘤患者应该尽早进行外科治疗。
Objectives： To study the reproductive outcome effects of hystcromyomectomy treatment for infer- tile women with uterine fibroids. Methods： 165 infertile women with uterine fibroids after hysteromyomectomy treat- ment in our hospital from January 2009 to April 2011 were selected. The basic clinical information, feature informa- tion fibroids and postoperative follow -up information of all the patients were collected. Results： After the surgery, there were 75 pregnancy cases in the total infertile women, 80 pregnant times in total. The overall pregnancy rate was 45.45%. The total number of normal live births was 58 and live birth rate was 72.5%. Cesarean section was the main delivery mode, accounting for 81.03%. All subjects, depending on the outcome of pregnancy, were divid- ed into pregnancy group and non - pregnancy group. The differences in age, time of infertility, infertility type, number of fibroids and fibroid type in the two groups were all statistically significant （ P 〈 0. 05 ）. Conclusions： Hysteromyomeetomy for infertile women with uterine fibroids can improve the pregnancy rate and live birth rate. The mode of delivery is mainly artificial birth. With the increasing of patient＇ s age, the type of fibroids is mainly multi- ple fibroids, and the pregnancy rate is lower. Therefore, patients with uterine fibroids should be surgically treated as soon as possible.
出处
《中国性科学》
2015年第7期76-79,共4页
Chinese Journal of Human Sexuality
关键词
子宫肌瘤
不孕
生育结局
Uterine fibroids
Infertility
Birth outcomes
