妊娠合并重度脊柱侧凸畸形6例分析

Analysis of pregnancy complicated with severe scoliosis malformation in 6 cases

目的探讨妊娠合并重度脊柱侧凸畸形疾病特点及处理。方法对2007年1月至2016年7月收治的6例妊娠合并重度脊柱侧凸畸形患者病史资料进行回顾性分析。结果 6例患者均安全度过手术期,1例术后出现肺功能不全,余5例未见明显并发症,术后6例均痊愈出院。结论重度脊柱侧凸畸形由于合并有严重的器官发育、功能异常,无法耐受阴道分娩,均以剖宫产方式终止妊娠,麻醉方式特殊,终止妊娠前后需严密监护。

Objective To explore the characteristics and treatment of pregnancy complicated with severe scoliosis malformation. Methods Six cases of pregnant patients complicated with severe scoliosis admited from 2007 to 2016 were retrospectively analyzed. Results Six patients safely get through the operation period. Except of 1 case sufferd with pulmonary insufficiency after operation,five cases had no obvious complications. Six cases were discharged after cured. Conclusion Because of severe organ development and abnormal function,patients with severe scoliosis can not tolerate vaginal delivery,and choose cesarean section to terminate the pregnancy course.The aesthesia should be special. The patients should be closely guarded before and after the termination of pregnancy.