摘要
目的评估子宫肌瘤的大小对双胎妊娠产科结局的影响。方法选取在首都医科大学附属北京妇产医院建档并于2013年6月至2014年12月分娩的双胎妊娠合并子宫肌瘤患者为研究对象,记录肌瘤基本特征、产妇基本人口统计学特征、不良产科并发症及新生儿结局。结果共有51例患者纳入研究,其中34例肌瘤<5 cm,17例至少有1个肌瘤≥5 cm。≥5 cm肌瘤者与<5 cm肌瘤者相比,其基本人口统计学特征、肌瘤基本特征、不良产科并发症及新生儿结局差异均无统计学意义(P>0.05)。≥5 cm肌瘤较<5 cm肌瘤的变性率(58.82%vs 11.76%,P=0.001)明显增加。在孕中期,<5 cm的肌瘤[(2.87±0.94)vs(3.45±1.22),P=0.018]明显增大。结论子宫肌瘤的大小对双胎妊娠产科结局的影响并不明显。在孕期,≥5 cm的肌瘤更易发生变性。<5 cm的肌瘤在孕中期明显增大。
Objective To estimate the effect of the size of fibroids on obstetric outcomes in twin pregnancy. Metheds The data of twin pregnancy with fibroids who have established their files and delivered from June 2013 to December 2014 in the Beijing Obstetrics and Gynecology Hospital, Capital Medical University were collected, including fibroids＇ characteristics, maternal demographics, adverse obstetric complications and neonatal outcomes. Results 51 cases were enrolled： 34 patients＇ fibroids were 〈 5 cm and 17 patients had at least one fibroid ≥ 5 cm. There was no significant difference in the basic demographic characteristics, fibroids＇ characteristics, adverse obstetric complications and neonatal outcomes between twin pregnant women with fibroids ≥ 5 cm and those with fibroids 〈 5 cm. The former group had obviously higher degeneration rate than the latter. Diameter modification of fibroids 〈 5 cm from 11-14 weeks to 28-32 weeks[（2.87 ± 0.94）vs（3.45 ± 1.22）, P= 0.018）] was significant. Conclutions The effects of the size of fibroids on obstetric outcomes in twin pregnancy are not obvious. Fibroids ≥ 5 cm are more prone to degeneration during gestation. Fibroids 〈 5 cm could undergo a remarkable growth during the second trimester.
作者
王红梅
田玉翠
张春柳
蒋子雯
代荫梅
WANG Hongmei TIAN Yucui ZHANG Chunliu JIANG Ziwen DAI Yinmei.(Department of Gynecology, Beijing Obstemcs and Gynecology Hospital, Capital Medical University, Beijing 100026, China)
出处
《中国妇产科临床杂志》
CSCD
北大核心
2017年第3期203-205,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
子宫肌瘤
大小
双胎
产科结局
fibroids, size
twin pregnancy
obstetric complications
neonatal outcomes
