子宫肌瘤的数目对双胎妊娠产科结局的影响

Effect of hysteromyoma's number on obstetric outcomes of twin pregnancy

目的前瞻性评估子宫肌瘤的数目对双胎妊娠产科结局的影响。方法选取在首都医科大学附属北京妇产医院建档并于2013年6月-2014年12月分娩的双胎妊娠合并子宫肌瘤患者共51例,其中32例(肌瘤数目=1)为单发肌瘤组,19例(肌瘤数目≥2)为多发肌瘤组,观察并记录肌瘤基本特征、孕妇基本人口学特征、不良产科并发症及新生儿结局。结果妊娠合并多发肌瘤者与妊娠合并单发肌瘤者相比,其基本人口学特征、不良产科并发症及新生儿结局均无统计学差异(P>0.05)。结论子宫肌瘤的数目对双胎妊娠产科结局的影响并不明显,有利于对双胎妊娠合并子宫肌瘤患者产前、产时及产后的监测和管理。

Objective To prospectively estimate the effect of hysteromyoma＇s number on obstetric outcomes of twin pregnancy. Methods A total of 51 twin pregnant women with hysteromyoma who had delivery and registration in Beijing Obstetrics and Gynecology Hospital of Capital Medical University from June 2013 to December 2014 were selected, including 32 cases with single fibroid and 19 cases with multi- ple fibroids. The basic characteristics of hysteromyoma, maternal basic demographics, adverse obstetric complications and neonatal outcomes were observed and recorded. Results The basic demographic characteristics, adverse obstetric complications and neonatal outcomes be- tween pregnancy complicated with single fibroid and pregnancy complicated with multiple fibroids had no significantly difference （P 〉 0. 05 ） . Conclusion The effect of fibroids＂ number on obstetric outcomes of twin pregnancy is not obvious. The result may be helpful to prenatal, partum and postpartum monitoring and management of twin pregnancy.