妊娠合并子宫肌瘤76例临床分析

Clinical analysis of 76 cases of pregnancy with uterine fibroids

目的探讨妊娠合并子宫肌瘤的临床处理方式。方法回顾性分析76例妊娠合并子宫肌瘤患者的临床资料,总结不同情况下子宫肌瘤的处理方式和分娩方式的选择。结果孕早期行人工流产6例,阴道分娩16例,剖宫产同时行肌瘤剔除术42例,仅行剖宫产12例,且两者平均手术时间和出血量无显著性差异(P>0.05)。结论应根据子宫肌瘤大小、位置、形态及产妇状态决定肌瘤处理方式和分娩方式。在严格掌握适应症和手术技术成熟的前提下,可在剖宫产术中同时行肌瘤剔除术。

Objective To investigate the treatment of pregnancy with uterine fibroids. Methods Analyzed the clinical data of 76 pregnant women with uterine fibroids retrospectively, summarized how to choose the manner for uterine fibroids and labor under different conditions. Results Induced abortion in early pregnancy in 6 cases, 16 cases of vaginal delivery, cesarean section while myomectomy in 42 cases, only 12 cases of cesarean section, and both operative time and blood loss on average had no significant difference （P 〉 0. 05 ）. Conclusions The manner for uterine fibroids and labor should be based on the size, location, shape of uterine fibroids and maternal status. When mastering the strict indications and surgical techniques, myomectomy could be carried out in the cesarean section.