妊娠合并子宫肌瘤30例临床分析

The diagnosis and treatment about 30 cases of pregnancy with uterine myoma

目的:对妊娠合并子宫肌瘤30例患者的诊断和治疗方法进行探讨。方法:回顾性分析30例患者的临床资料。结果:患者阴道分娩8例;行剖宫产术分娩并行子宫肌瘤剔除术21例;1例为肌瘤多发,且直径均>5cm,术中出血较多,且创面较大,为避免感染和出血行全子宫切除;1例为子宫颈肌瘤,因其特殊位置,剖宫产时未行剔除术。结论:子宫肌瘤对生育有较大影响,妊娠合并子宫肌瘤属于高危妊娠应当引起足够的重视并积极治疗,剖宫产行子宫肌瘤剔除术是一种积极可行的方法,临床效果较好。

Objective：To discuss the diagnosisand treatment of the 30 cases of pregnant women with uterine fibroids. Methods：Analyse the clinical data of 30 patients retrospectiveiy. Results：8 cases of patients were vaginal delivery; cesarean section delivery in parallel with hysteromyomectomy were 21 cases;1 case was multiple fibroids and the diameters were 〉 5 cm,with more bleeding and a larger wound during the operation d,so we took total hysterectomy to avoid infection; 1 case of cervical fibroids,which did not be removed in the cesarean section because of its special position. Conclusion：The uterine fibroids have significant impact on fertility,pregnancy with uterine fibroids are high-risk pregnancy which should arouse enough attention and aggressive treatment,cesarean section in parallel with hysteromyomectomy is a positive and practical way to get better clinical effect.