摘要
目的探讨妊娠合并子宫肌瘤对妊娠及分娩结局的影响。方法选取2012年1月至2015年1月间收治的妊娠合并子宫肌瘤患者110例作为观察组,同时选择同期分娩无子宫肌瘤的112例产妇作为对照组,观察比较两组患者妊娠晚期并发症、产时和产后并发症、分娩方式及术中处理情况。结果观察组孕期合并先兆流产、早产和胎位异常的发生率分别为11.8%、13.6%和19.1%,均显著高于对照组的5.4%、3.6%和8.0%,差异均有统计学意义(P<0.05);观察组妊娠时胎盘早剥的发生率为6.4%,显著高于对照组的0.9%,差异有统计学意义(P<0.05);两组患者产后出血发生率差异无统计学意义(P>0.05);观察组新生儿宫内窘迫和新生儿窒息发生率分别为8.2%和13.6%,显著高于对照组的1.8%和4.5%,差异有统计学意义(P<0.05),且观察组患者新生儿Apgar评分显著低于对照组,差异有统计学意义(P<0.05);观察组产妇剖宫产率为51.8%,显著高于对照组的42.9%,差异有统计学意义(P<0.05)。结论妊娠合并子宫肌瘤对产妇及新生儿均有一定的不良影响,产科医师应根据不同孕期、肌瘤大小,在确保孕产妇及胎儿安全的前提下,施行个体化治疗。
Objective To investigate the pregnant women with uterine fibroids on pregnancy and birth outcomes, and provide the basis for pregnancy pregnant patients with uterine fibroids. Methods A hospital in January 2013 - January 2015 after cesarean treated 110 cases of pregnant women pregnant again as the observation group, while selecting the same period of delivery of 112 cases of uterine fibroids without a control group, two groups were observed and compared late pregnancy complications, intrapartum, and postpartum complications, mode of delivery and intraoperative management. Results The pregnancy merg- er threatened abortion, premature birth, fetal abnormalities, placental abruption incidence of 11.8% and 13.6% and 19. 1% were significantly higher than the 5.4%, 3.6% and 8.0%, the differences were statis- tically significant, P 〈0.05; placental abruption occurred rates were 6. 4% in the observed group and 0.9% in the control group, with a significant difference between the two groups （P 〈0. 05） ; and postpar- tum hemorrhage the incidence were similar, P 〉 0.05 ; observation group intrauterine distress and neonatal asphyxia was 8. 2% and 13.6%, respectively, significantly higher than the 1.8% and 4. 5%, the differ- ence was statistically significant, P 〈 0. 05, and the Apgar score was significantly lower than the control group, the difference was statistically significant, P 〈 0. 05 ; observation group cesarean section rate was 51.8% was significantly higher than 42. 9%, the difference was statistically significant, P 〈 0.05. Conclu- sions There is a certain negative impact on maternal and newborn pregnancy complicated with uterine fi- broids, should arouse the attention of clinicians ; obstetrician should be based on different pregnancy, fibroid size, to ensure maternal and fetal safety of the premise, the implementation of individualized treatment.
出处
《中国肿瘤临床与康复》
2015年第8期979-981,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
妊娠
子宫肌瘤
分娩结局
Pregnancy
Uterine fibroids
Birth outcomes
