子宫肌瘤对妊娠的影响及其处理方式的研究

Study on the Effect of Uterine Myoma on Pregnancy and Its Treatment

目的探讨子宫肌瘤对妊娠的影响以及对妊娠合并子宫肌瘤患者肌瘤的处理方法。方法选取妊娠合并子宫肌瘤患者120例作为观察组,单纯妊娠妇女100例作为对照组,观察子宫肌瘤对妊娠的影响以及选择不同术式患者术中、术后情况。结果(1)观察组患者先兆流产、胎位异常、先兆早产、胎膜早破、前置胎盘、剖宫产、产后出血、产褥病率均高于对照组(P<0.05);(2)剖宫产联合肌瘤剔除术的患者在手术时间、术中出血量及术后住院天数均高于单纯行剖宫产患者(P<0.05)。结论妊娠合并子宫肌瘤能够增加孕产妇妊娠期、分娩期并发症发生率;不宜将剖宫产联合肌瘤剔除术作为常规术式,应当衡量患者状态后再考虑进行手术。

Objective To study the infuence of uterine fibroids on pregnancy and fibroid treatment in patients with pregnancy with uterine fibroi＆. Methods 121） cases of pregnancy with uterine fibroids patients were selected as observation group, 100 cases of patients with simple pregnancy as the control group, to observe the effect of uterine fibroids on pregnancy and choose different intraoperative and postoperative surgical patients. Results （ 1 ） precursor observation group of patient.s with threatened abortion, abnormal position, premature delivery, premature ruptnre of membranes, placenta previa, cesarean section, postpartum hemorrhage and puerperal disease rate significandy higher than the control group （P 〈 0.05 ） . （ 2 ） joint myoma eliminating cesarean delivery operation of patients in the operation time, intraoperative blood loss and postoperative hospitalization days, siguificandy higher than the pure line of cesarean section patients （P 〈 0.05 ） . Conclusion Pregnancy with uterine fibroids can increase the risk of maternal pregnancy intrapartum complication. The combination of myoma eliminating aud cesarean section is not suitable to be regarded as a regular operation, the state of patients should be measuired before considering surgery.