子宫肌瘤对围生期的影响及剖宫产术中子宫肌瘤的处理

Uterine Fibroids Impact on Perinatal and Cesarean Section in the Treatment of Uterine Fibroids

目的探讨子宫肌瘤对围生期的影响及剖宫产术中子宫肌瘤的处理。方法选取2009年1月至2011年1月我院收治的早期妊娠合并子宫肌瘤孕妇共60例作为实验组,同期60例无子宫肌瘤孕妇作为对照组,调查孕妇的相关资料,包括围生期并发症、分娩方式与处理等。结果两组孕妇在早产、自然流产、胎位异常、宫缩乏力、产后出血并发症的比较,差异均具有统计学意义(P<0.05),说明试验组孕妇发生围生期并发症概率较高;两组孕妇采用阴道分娩、剖宫产、剖宫产联合次全子宫切除、剖宫产联合肌瘤摘除差异具有统计学意义(P<0.05)。结论子宫肌瘤在围生期可增加孕妇的妊娠并发症,剖宫产术中子宫肌瘤可采用肌瘤摘除术或次全子宫切除术进行处理。

Objective To learn the effect of hysteromyoma in perinatal period and the treating of hysteromyoma in U-D delivery. Methods There are 60 early pregnant women and hysteromyoma from Jan 2009 to Jan 2011 is experiment group while 60 hameochronous pregnant women is control group. Investigate the relative data of 2 groups. Results The diverse of premature birth, natural abortion, abnormal fetal position, uterine inertia and postpartum hemorrhage of 2 groups has significance （P〈 0.05）. The diverse of vaginal delivery, uterine-incision delivery, U-D with subtotal hysterectomy and U-D with myomectomy of 2 groups has significance （P〈 0.05）. Conclusion The hysteromyoma in perinatal period can increase the pregnant complication of pregnant women and hysteromyoma in U-D can be handled with subtotal hysterectomy and myomectomy.