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中文摘要: 目的 研究带瘤妊娠对比子宫肌瘤剔除术后分娩产妇妊娠结局临床差异性。方法 选取2014年12月—2016年12月在本院接受子宫肌瘤剔除手术和带瘤妊娠的患者共115例。将同时期在本院分娩的合并子宫肌瘤患者分为两组:带瘤妊娠组(57例),术后妊娠组(58例);调阅两组的过往病史,记录两组的住院病历以及分娩期并发症与肌瘤部位、大小、数量的关系。记录患者的手术情况,并采用χ²检验对比带瘤妊娠组与去瘤妊娠组产妇妊娠结局,分析子宫肌是否瘤剔除对产妇妊娠的影响。结果 带瘤妊娠组的胎膜早破发生率低于术后妊娠组的,两组对比差异具有统计学意义(P<0.05);带瘤妊娠组早产发生率0%,低于术后妊娠组的8.7%,两组对比差异具有统计学意义(P<0.05);术后妊娠组和带瘤妊娠组两组子宫肌瘤最大径线的差异具有统计学意义(P<0.05),两组的肌瘤数量的分布无统计学意义(P>0.05),两组的肌壁间、浆膜下和粘膜下的宫肌瘤比例均差异具有统计学意义(P<0.05)。结论 子宫肌瘤剔除手术后虽存在一定负面影响,但对比带瘤妊娠,术后会增高妊娠分娩并发症发生率,因此对于有生殖需求的患者选择。
Abstract:OBJECTIVE To study the clinical difference of maternal pregnancy outcome after uterine leiomyoma rejection. METHODS The uterine myomectomy and tumor pregnancy were enrolled in our hospital from December 2014 to December 2016. In the same period in our hospital delivery of uterine fibroids were divided into two groups: with tumor pregnancy group, to the pregnancy group; access to the two groups of past medical history, recorded in two groups of hospitalized medical records and childbirth complications and fibroids Location, size, quantity relationship. The operation of the patients was recorded and the outcome of maternal pregnancy was compared with the gestational pregnancy group. The effect of the uterine muscle on the maternal pregnancy was analyzed. RESULTS With the tumor pregnancy group the incidence of premature rupture of membranes is lower than the postoperative pregnancy group, with significant difference between the two groups (P<0.05); the incidence of preterm birth with tumor pregnancy group 0%, pregnancy group is lower than the postoperative 8.7%, with significant difference between the two groups (P<0.05); the difference was statistically significant postoperative pregnancy group the largest and two groups with tumor pregnancy uterine fibroids diameter (P<0.05), distribution of the number of myoma in two groups of no statistical significance (P>0.05), with statistical significance between the two groups, the muscle wall subserosal and submucosal uterine fibroids are the proportion of the difference (P<0.05). CONCLUSION Although there is a certain negative effect after the removal of uterine myoma, but compared with the tumor pregnancy, postoperative pregnancy will increase the incidence of complications, so for patients with reproductive needs.
keywords: uterine fibroids pregnancy pregnancy outcome
文章编号:3201809017 中图分类号:R1-9 文献标志码:
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