妊娠合并子宫肌瘤处理的临床效果观察

Clinical effect observation of processing the pregnancy with uterine fibroids

目的:探讨妊娠合并子宫肌瘤的处理方法,提高治疗效果。方法:回顾性总结分析102例妊娠合并子宫肌瘤的临床资料,总结其治疗方法。结果:对待不同的妊娠合并子宫肌瘤时,正确采取相应的治疗方法,可以取得良好的治疗效果,肌瘤较小,不阻碍产道和影响产程,可不做特殊处理,实施阴道分娩;适当使用宫缩药避免产后大出血,肌瘤直径>5cm应考虑剖宫产结束分娩。结论:妊娠合并子宫肌瘤应注意肌瘤的处理原则,选择适合病例行剖宫产时剔除子宫肌瘤。

Objective： To study the treatment method and improve the treatment effect on pregnancy with uterine fibroids. Methods： The clinical data of 102 cases of pregnancy with uterine fibroids were retrospective analyzed, and summarized the treatment methods. Results： Treated different pregnancy with uterine fibroids, taken the corresponding treatment method, could achieve good treatment effect. When myoma were smaller, it didn＇t block the birth canal and affect the labor, and could not do any special processing, and implemented vaginal delivery; appropriate drugs can be used to avoid contractions postpartum massive hemorrhage. When the diameter of uterine fibroids was greater than 5 cm, we should adopt cesarean section to end of delivery.Conclusion： We should pay attention to the principles of the pregnancy with uterine fibroids, and choose suitable cases of cesarean section to eliminate uterine fibroids.