摘要
目的:探究与分析妊娠合并子宫肌瘤的临床特点。方法:选取我院自2014年11月至2015年7月收治的142例妊娠合并子宫肌瘤孕产妇作为观察组,另选择同时期收治的140例妊娠无合并子宫肌瘤的孕产妇作为对照组,对比两组孕产妇孕期合并症、分娩期并发症发生率、分娩方式、术中处理及子宫肌瘤在妊娠期的变化。结果:观察组与对照组先兆流产、先兆早产、胎位异常、前置胎盘、妊高征、胎膜早破、胎儿生长受限、妊娠糖尿病发生率相比均无明显差异(P>0.05)。观察组与对照组脐带缠绕、胎儿窘迫、产后出血、胎盘早剥、新生儿窒息、低出生体重儿发生率相比均无明显差异(P>0.05)。观察组较对照组相比阴道分娩率降低,剖宫产率提高,具有统计学意义(P<0.05)。观察组术中同时行子宫肌瘤剔除术73例,占51.41%。孕晚期肌瘤直径较早期相比无增大或减小所占比例最高,占49.30%,明显高于其他情况,具有统计学意义(P<0.05)。剔除肌瘤后病理类型表现为肌瘤未伴变性比例最高,占47.95%,明显高于其他类型,具有统计学意义(P<0.05)。结论:妊娠合并子宫肌瘤不会增加孕产妇孕期及分娩期并发症发生率,同时不会增加肌瘤变性比例,且子宫肌瘤大小并非随着孕期延长而增大,但增加了剖宫产率,因此也应引起临床医师的重视。
Objectives： To explore and analyze the clinical features of pregnancy with uterine fibroids.Methods： 142 pregnant patients with hysteromyoma in our hospital from November 2014 to July 2015 were selected as observation group,and another 140 pregnant women without uterine fibroids at the same time were chosen as control group. The incidence of pregnant complications and intrapartum complications,delivery mode,changes in secondary processing and uterine fibroids during pregnancy were compared. Results： The incidence in threatened abortion,aura,abnormal position,placenta previa,premature pregnancy,and high character,premature rupture of membranes,fetal growth restriction and gestational diabetes mellitus had no obvious difference between the two groups（ P〉0. 05）. Difference in the incidence of umbilical cord entanglement,fetal distress and postpartum hemorrhage,placental abruption,neonatal asphyxia and low birth weight was not significant（ P〉0. 05）. Compared with the control group,the vaginal birth rate was lower and the cesarean section rate was higher in the observation group,with statistical significance（ P〈0. 05）. In the observation group,there were 73 cases underwent myomectomy,accounting for 51. 41%. Compared to earlier,late pregnancy fibroids diameter kept stable in most patients,accounting for 49. 30%,significantly higher than the other conditions,with statistical significance（ P〈0. 05）. After eliminating fibroid,the pathological type of non- degenerated fibroids was of the highest percentage,accounting for47. 95%,significantly higher than other types,with statistical significance（ P〈0. 05）. Conclusion： Pregnancy with uterine fibroids doesn＇t increase the incidence of maternal pregnancy and intrapartum complication rates,and at the same time will not increase the proportion of myoma degeneration,but will increase the rate of cesarean section,and the size of uterine fibroids does not as increases prolong pregnancy,which should cause the attention of clinicians.
出处
《中国性科学》
2016年第7期128-130,共3页
Chinese Journal of Human Sexuality
关键词
妊娠
子宫肌瘤
合并症
Pregnancy
Uterine fibroids
Complications
