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妊娠合并子宫肌瘤的临床分析

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目的 探讨妊娠合并子宫肌瘤的孕期及手术情况.方法 对70例妊娠合并子宫肌瘤行剖宫产手术患者,作为观察组,回顾性分其临床资料.选取同期行剖宫产手术的无子宫肌瘤的患者为对照组.就其孕期并发症(流产率,早产率,肌瘤变性及胎位异常)进行比较;以及剖宫产术中出血量、手术时间、术后排气时间以及住院时间进行比较.结果 2组孕期先兆流产率、先兆早产率比较有统计学意义(P<0.05);2组胎位异常发生率比较无统计学意义.2组在平均术中出血量,手术时间,术后排气时间及住院时间方面比较均无统计学差异.结论 妊娠合并子宫肌瘤增加了妊娠期并发症的发生率,但剖宫产术中行子宫肌瘤剔除术是安全可行的.
Clinical analysis of pregnancy complicated with uterine fibroids
Objective To investigate the pregnancy and operation of uterine fibroids during pregnancy. Methods The clinical data of 70 cases of pregnancy complicated with uterine fibroids undergoing cesarean section were analyzed retrospectively. The patients without uterine myoma underwent cesarean section were selected as the control group. The complications of pregnancy (abortion rate, premature delivery rate, myoma degeneration and abnormal fetal position) were compared; and the cesarean section bleeding volume, operation time, postoperative exhaust time and hospitalization time were compared. Results The two groups of pregnancy threatened abortion rate, preterm labor rate was statistically significant (P<0.05); the two groups the incidence of fetal abnormalities was not statistically significant. There was no significant difference between the two groups in the average intraoperative blood loss, operation time, postoperative exhaust time and hospital stay. Conclusion Pregnancy associated with uterine fibroids increases the incidence of pregnancy complications, but cesarean myomectomy is safe and feasible.

pregnancy associated with uterine fibroidscesarean sectionmyomectomy

郭长红

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天津市静海区医院 妇产科,天津 301600

妊娠合并子宫肌瘤 剖宫产 肌瘤剔除

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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