妊娠合并子宫肌瘤患者对分娩方式的选择与分娩结局的影响分析

Analysis on the choice of delivery modes and the effect on delivery outcomes in pregnant women with uterine fibroids

目的研究分析妊娠合并子宫肌瘤患者对分娩方式的选择及对分娩结局的影响。方法选取金华市中心医院2013年5月-2015年5月收治的妊娠合并子宫肌瘤患者100例作为研究组,选取同时期妊娠无合并子宫肌瘤正常产妇100例为对照组,比较两组产妇的分娩方式以及分娩结局。结果对照组发生剖宫产率26.0%,研究组为43.0%,两组比较差异有统计学意义(P<0.05);对照组发生先兆流产率4.0%、胎位异常3.0%、早产4.0%,研究组先兆流产发生率21.0%、胎位异常16.0%、早产15.0%,两组比较差异有统计学意义(P<0.05)。结论妊娠合并子宫肌瘤增加了剖宫产率和妊娠并发症的发生率,使胎儿早产率升高。应加强对妊娠合并子宫肌瘤产妇的重视,做好产前检查和保健工作,减少妊娠并发症以及早产的发生率。

Objective To research the choice of delivery modes and the effect on delivery outcomes in pregnant women with uterine fibroids.Methods A total of 100 pregnant women with uterine fibroids were selected from the hospital from May 2013 to May 2015 as research group,and 100 normal pregnant women without uterine fibroids were selected as control group.The delivery modes and delivery outcomes in the two groups were compared.Results The cesarean section rates in control group and research group were 26.0% and 43.0%,respectively,there was statistically significant differences between the two groups（P〈0.05）.The threatened abortion rate,abnormal position rate and premature birth rate in control group were 4.0%,3.0%,and 4.0%,respectively,the threatened abortion rate,abnormal position rate and premature birth rate in research group were 21.0%,6.0%,and 15.0%,respectively,there were statistically significant differences between the two groups（P〈0.05）.Conclusion Pregnancy combined with uterine fibroids increases cesarean section rate and the incidence rates of pregnancy complications and fetal preterm birth,more attention should be paid to the pregnant women with uterine fibroids to reduce the incidence rates of pregnancy complications and preterm birth.