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瘢痕子宫足月妊娠合并子宫肌瘤孕妇阴道分娩的临床效果及安全性探讨 被引量:14

Clinical effect and safety of vaginal delivery in pregnant women with uterine fibroids with uterine fibroids
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摘要 目的讨论40例瘢痕子宫足月妊娠合并子宫肌瘤孕妇的阴道分娩情况。方法选取笔者医院分娩的80例瘢痕子宫足月妊娠合并子宫肌瘤患者,其中观察组40例患者选择阴道分娩,对照组40例患者选择再次剖宫产,比较两组产妇分娩情况、恢复情况、并发症以及新生儿情况。结果观察组分娩时出血量与产后24h出血量均好于对照组,且产妇分娩后恢复时间,并发症、所有费用以及新生儿Apgar评分都好于对照组,两组比较,P<0.05。结论瘢痕子宫足月妊娠合并子宫肌瘤孕妇进行阴道分娩具有一定可行性,但最终分娩方式要根据患者的实际情况进行最佳选择。 OBJECTIVE To discuss the vaginal delivery of 40 pregnant women with full-term pregnancy with uterine leiomyoma.METHODS Eighty patients with uterine fibroids and full-term uterine uterine fibroids were selected from the hospital.Thirty patients in the observation group chose vaginal delivery,and 40 patients in the control group chose cesarean section again.The maternal delivery and recovery were compared between the two groups.Complications and neonatal conditions.RESULTSThe blood loss during the observation of component sputum and the amount of postpartum hemorrhage at 24 hours were better than those of the control group.The time of recovery after maternal delivery was higher.The complications,all costs,and neonatal Apgar score were all better than those of the control group.P<0.05.CONCLUSIONS It is feasible to carry out vaginal delivery for pregnant women with full-term uterine fibroids in full-term pregnancy with scars,but the final choice of delivery should be based on the actual situation of patients.
出处 《中华肿瘤防治杂志》 CAS 北大核心 2018年第S1期126-127,共2页 Chinese Journal of Cancer Prevention and Treatment
关键词 瘢痕子宫 足月妊娠 阴道分娩 剖宫产 临床分析 scar uterus full-term pregnancy vaginal delivery cesarean section clinical analysis
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