妊娠合并脊柱侧弯27例临床分析

Pregnancy with scoliosis：analysis of 27 cases

目的：探讨妊娠合并脊柱畸形患者临床特点、孕期注意事项及妊娠结局。方法对本院27例妊娠合并脊柱侧弯患者的临床资料进行回顾性分析，同时进行电话随访。结果27例中初产妇21例，经产妇6例。初产妇合并心功能不全、合并肺部感染、妊娠期高血压疾病、新生儿不良结局分别占19.0％、9.5％、9.5％、33.3％；经产妇合并心功能不全、妊娠期高血压疾病、新生儿不良结局分别占16.7％、33.3％、50.0％。电话随访产妇20例，死亡11.8％；小儿20例，死亡5.0％。结论妊娠合并脊柱侧弯患者易引发心肺功能疾病、早产等；加强妊娠期管理、及时诊治可改善母儿结局。

Objective To describe the clinical features,treatments and birth outcomes of pregnant women with scoliosis. Methods Clinical data of 27 pregnant women with scoliosis were retrospectively analyzed,along with telephone interviews. Results Among the 27 cases,21 cases were primiparous and the other 6 cases were multiparous. In the primiparous group,four cases showed cardiac dysfunction （19.0%）,two cases suffered from frequent pulmonary infection （9.5%）,two cases had hypertensive disorders during pregnancy （9.5%）,and seven women had adverse birth outcomes （33.3%）.In the multiparous group,one case showed cardiac dysfunction （16.7%）,two cases had hypertensive disorders during pregnancy （33.3%）, and three cases had adverse birth outcomes （50%）. Conclusion Pregnant women with scoliosis may lead to cardiac dysfunction,pulmonary infection,and premature delivery. Early diagnosis and intervention can help improve the outcomes of mothers and fetuses.