先天性子宫畸形对妊娠结局的影响

The effect of congenital uterine malformation on the pregnancy outcomes

目的探讨先天性子宫畸形对妊娠结局的影响。方法选择2012年1月1日至2016年1月1日在广东省惠州市第一妇幼保健院妇产科诊治的先天性子宫畸形合并妊娠76例为病例组,并以65名正常子宫妊娠的孕妇作为对照组,对其临床资料进行分析,观察并比较两组间母儿情况。结果病例组胎膜早破、胎位异常、早产的发生率分别为31.6%、34.2%、18.4%,均显著高于对照组(P<0.05)。病例组的剖宫产率为71.0%,显著高于对照组(P<0.05),而顺产率(24.2%)显著低于对照组(P<0.05)。病例组的胎儿宫内窘迫及新生儿窒息的发生率分别为23.7%、7.9%,均显著高于对照组(P<0.05)。结论先天性子宫畸形可对母儿造成不良影响,临床医生对其应加强管理。

Objective To explore the effect of congenital uterine malformation on the pregnancy outcomes. Methods The clinical data of 76 pregnant women complicated with congenital uterine malformation and 65 pregnant women with normal uterus who delivered in the Obstetrics and Gynecology Department of First Maternal and Child Health Hospital of Huizhou city from January 1, 2012 to January 1, 2016 were analyzed. The condition of mother and fetus were compared between the two groups. Results The incidences of premature rupture of membranes, fetal position abnormality, premature delivery in study group was 31.6%, 34.2% and 18.4%, respectively, which were significantly higher than those of the control group （P〈 0.05 ）. The incidences of caesarean section in study group was 71.0%, which was significantly higher than that of the control group （P〈0.05） , but the incidences of natural birth （24.2%） was lower than that of the control group （P〈0.05）. The incidences of fetal distress and neonatal asphyxia in study group were 23.7% and 7.9% , respectively, which were significantly higher than those of the control group （P〈0.05）. Conclusion Congenital uterine malformation with pregnancy can cause a negative effect on women and fetus. Clinicians should strengthen their management.