妊娠合并子宫肌瘤50例临床分析

Clinical analysis on 50 cases of pregnancy associated with hysteromyoma

目的探讨妊娠合并子宫肌瘤的临床诊断与处理方法。方法选择2009年8月-2011年1月我院50例妊娠合并子宫肌瘤的临床资料作为观察组，同时随机选取同期分娩无子宫肌瘤的50例临床资料作为对照组。回顾性分析两组并发症、分娩情况及产后出血、产后感染的发生率。结果观察组并发症、剖宫产、产后出血的发生率明显高于对照组，差异有显著性（P〈0．05），产后感染的发生率与对照组比较差异无显著性（P〉0．05）。结论妊娠合并子宫肌瘤患者应加强监护，根据子宫肌瘤的大小、部位、类型选择合适的处理方法，出现并发症时应及时处理。

Objective To investigate the clinical diagnosis and management of pregnancy associated with hysteromyoma. Methods The clinical data of 50 cases of pregnancy associated with hysteromyoma from August 2009 to January 2011 were selected as the observation group, and 50 case of homeochronous gravida with no hysteromyoma were selected as the control group. The incidence rate of complication, accouchement information, postpartum hemorrhage and postnatal infection were retrospectively analyzed. Results The incidence rate of complication, accouchement information and postpartum hemorrhage were higher than those of the control group, there was significant difference （P〈0.05）. The incidence rates of two group postnatal infection had no significant difference （P 〉 0.05）. Conclusion The patients of pregnancy associated with hysteromyoma should get intensive care,the right treatment method should be chosen according to the size, position and type ,complications should be dealt with in time.