摘要
目的:探讨和分析妊娠合并子宫肌瘤对妊娠和分娩的影响,方法:总结48例妊娠合并子宫肌瘤患者的临床资料,了解子宫肌瘤发病率,年龄分布,肌瘤的生长部位、大小、并发症及诊疗。结果:年龄27～44岁、>30岁多见,经产妇多见于初产妇;孕早期诊断6例、孕中期4例、孕晚期36例,剖腹产时发现2例。黏膜下肌瘤4例,肌壁间肌瘤34例,浆膜下肌瘤14例;单发多于多发;并发症先兆流产2例,先兆早产3例,胎位异常16例,前置胎盘1例,产后出血4例。48例中阴道分娩9例,单纯性剖宫产4例,剖宫产加子宫肌瘤剔除术35例,母婴均平安。结论:妊娠合并子宫肌瘤一经诊断立即列入高危孕妇管理,分娩方式的选择应根据孕妇的情况,在技术条件允许的情况下适当放宽剖宫产指征,在剖宫产同时行子宫肌瘤剔除术。
Objective： the objective analysis and pregnancy with uterine fibroids in pregnancy,childbirth and the influence of methods：48 cases of pregnancy with the clinical data of patients with uterine fibroids, understand the incidence of uterine fibroids, age distribution, the growth of fibroids, size, complications, and treatment. Results showed that, at the age of 27 -44 years old, between 30 or above, the maternal in an editorial,Six cases of pregnancy early diagnosis, pregnant ,4 cases, late in pregnancy, cesarean section 36 cases found in 2 cases.Submucosal fibroids 4 cases,intramural leiomyoma 34 cases,plasma Id cases; next fibroids More than single, Complications in 2 cases, threatening miscarriage premonitory anomaly in 3 cases, TaiWei premature 16 cases, singleton 1,4 cases of postpartum hemorrhage. 48 cases in 9 cases,vaginal delivery idiopathic cesarean section 4 cases, cesarean section was eliminated with uterine fibroids 35 cases were safe, maternal. Conclusion： the pregnancy with uterine fibroids is listed in high - risk pregnant management, immediately, the choice of the ways of childbirth according to the situation in pregnant women, the technical conditions allow loosen cesarean section in pregnancy, laboratory indications, uterine fibroids eliminate simultaneously.
