子宫肌瘤患者行切除术后的妊娠状况和妊娠影响因素的临床调查

Clinical investigation of pregnancy status and pregnancy influencing factors in patients with hysteromyoma after hysterectomy

目的探究子宫肌瘤患者行切除术后的后期妊娠情况,以及妊娠过程中的诸多影响因素。方法选取我院在2018年6月-2021年4月收治的患有子宫肌瘤女性患者共计120例,所有患者均满足子宫肌瘤切除术的手术标准。分析患者的术后妊娠情况及妊娠结局,并采用抑郁量表观察不良心理对妊娠结局的影响程度。结果分析发现本次研究的子宫肌瘤切除患者术后妊娠机率为43.45%(52例),其中有13例发生了不良妊娠结局。此外,对子宫肌瘤切除术的妊娠患者开展流行学研究中心抑郁量表(CES-D)调查,术前前评分为(18.35±2.14)分;术后评分为(23.46±2.36)分。通过对比两组患者的一般资料发现:文化程度低、有流产史、生活质量低下、高龄等都会造成子宫肌瘤切除术后的妊娠患者发生不良妊娠结局的风险性大大提升。差异具有显著的统计学意义(P<0.05)。结论子宫肌瘤的患者行切除术后会有不良妊娠结局的情况发生。此外,患者年龄、学历、既往流产史对后期的妊娠结局都有不同程度的影响。

Objective To explore the late pregnancy of patients with hysteromyoma after resection and many influencing factors in the pregnancy process.Methods A total of 120 female patients with hysteromyoma admitted to our hospital from June 2018 to April 2021.2012 were selected,and all patients met the surgical criteria for hysteromyoma resection.The postoperative pregnancy status and pregnancy outcome of the patients were analyzed,and the influence degree of adverse psychology on pregnancy outcome was observed by using depression scale.Results The analysis found that the pregnancy rate of the patients with hysteromyoma resection in this study was 43.45%(52 cases),among which 13 cases had adverse pregnancy outcomes.In addition,the epidemiology Research Center Depression Scale(CES--D)was carried out in pregnant patients with hysteromyomectomy,and the preoperative score was(18.35±2.14).The postoperative score was(23.46±2.36).By comparing the general data of the two groups of patients,it was found that low education level,history of abortion and advanced age would greatly increase the risk of adverse pregnancy outcomes in pregnant patients after hysteromyomectomy.The difference was statistically significant(P<0.05).Conclusion Patients with hysteromyoma may have adverse pregnancy outcomes after hysterectomy.In addition,the patient's age,education,previous abortion history have different degrees of influence on the later pregnancy outcome.