摘要
目的:探讨子宫畸形对围产结局的影响。方法:对6 177例住院分娩产妇进行回顾性分析,探讨其中33例(0.53%)妊娠合并子宫畸形者的分娩处理原则和围产结局。结果:妊娠合并子宫畸形孕妇的胎位异常、胎膜早破、早产的发生率(分别为42.42%、39.39%、42.42%)以及剖宫产率(90.91%)均显著高于正常子宫妊娠者(均P<0.01)。结论:妊娠合并子宫畸形为妊娠高危因素,应适当放宽剖宫产术指征以减少对母婴的不利影响,提高围产质量。
Objective: To study the effect of abnormal uterus on the perinatal outcomes. Methods: 6177 laboring women in-hospital from Jan 1995 to Dec 2005 were enter this study. 33 patients with uterus abnormality were involved to study the clinical management and the prognosis. Results: Compared with the normal controls, women with abnormal uterus had higher incidences in fetal position abnormality, premature delivery, premature rupture of membranes (42.42% ,39.39% ,42.42%) and cesarean section (90.91%) (all P〈0.01).Conclusion: Uterus abnormality is a high risk factor for pregnancy. We should increase the signs of cesarean section appropriately in order to reduce the harmful influences and improve maternal and neonatal outcomes.
出处
《天津医科大学学报》
2009年第2期266-267,287,共3页
Journal of Tianjin Medical University
关键词
子宫畸形
剖宫产术
围产结局
Abnormal uterus
Cesarean section
Perinatal outcomes