妊娠合并子宫肌瘤对妊娠与分娩的影响

The effect of pregnancy complicated with leiomyoma on pregnancy and delivery

目的:探讨妊娠合并子宫肌瘤妊娠晚期并发症及分娩方式的选择。方法:选取2008年1月～2011年8月收治的212例妊娠晚期合并子宫肌瘤的患者为观察组,选择同期分娩无子宫肌瘤的212例作为对照组,观察比较两组患者妊娠晚期并发症、产时和产后并发症、分娩方式及术中处理。结果:观察组212例妊娠足月187例,胎位异常、早产、低体重儿的发生率均高于对照组,差异有统计学意义(P<0.05);观察组剖宫产率高于对照组,差异有统计学意义(P<0.05)。结论:妊娠合并子宫肌瘤时适当放宽手术指标可减少母婴并发症,剖宫产同时行子宫肌瘤剔除术是一种安全的手术方式。

Objective： To explore the selections of delivery mode for pregnancy comlJlicated with leiomyoma. Methods： From January 2008 to August 2011,212 cases of late pregnancy complicated with leiomyoma in our hospital were selected as the observation group, 212 pregnant women without leiomyoma were as the control group. To compare the complications of late pregnancy, intrapartum and postpar- tum complications, delivery mode, intraoperative treatment between the two groups. Results： There were 187 cases of full -term pregnancy in 212 cases of the observation group. The incidence of fetal abnormalities, prematurity, low birth weight infants were higher than those of the control group （P 〈 0. 05） . The cesarean section rate in the observation group was higher than that in the control group, the difference was statistically significant （P 〈 0. 05 ） . Conclusion： The operation index may be appropriately relaxed for the pregnancy complicated with leiomyoma, it can reduce the happening of complication with maternal and infants. The Myomectomy during cesarean section is feasible.