行辅助生殖技术助孕的子宫腺肌病孕产妇的产科管理

Obstetric management of pregnant women with adenomyosis undergoing assisted reproductive technology

子宫腺肌病是妇科良性疾病,却是导致育龄期妇女不孕及发生不良妊娠结局的重要原因之一。已有部分研究报道了妊娠合并子宫腺肌病可导致早产等不良妊娠结局的发生,但目前妊娠合并子宫腺肌病孕妇的产科管理仍未引起足够的重视。本文聚焦子宫腺肌病并发不孕患者通过辅助生殖技术妊娠后的围产期管理难点(高危产科),包括子宫腺肌病对妊娠不良结局的原因及影响,风险因素的评估,建立妊娠风险评分系统(量表)或风险预测模型等问题做综述。

Adenomyosis is a benign gynecological disease,but it is one of the important causes of infertility and adverse pregnancy outcomes in women of childbearing age.Some studies have reported that pregnancy with adenomyosis can lead to premature delivery and other adverse pregnancy outcomes,but the obstetric management of pregnant women with adenomyosis has not attracted enough attention at present.This paper reviewed the obstetric management difficulty(high-risk obstetric)of pregnant women with adenomyosis after conception of assisted reproduction for infertility,including the causes and effects of adenomyosis on adverse pregnant outcomes,the risk factors of adenomuosis,and evaluation and establish of pregnancy risk scoring system(scale)or risk prediction model.