妊娠合并子宫肌瘤52例分析

目的探讨妊娠合并子宫肌瘤对母婴的影响,寻找正确的处理方法,保证母婴健康。方法选择52例妊娠合并子宫肌瘤的临床资料,其中单发肌瘤24例,多发肌瘤28例,进行回顾性分析。结果阴道自然分娩30例,胎吸助产5例,剖宫产17例。剖宫产同时肌瘤剔除12例,行子宫次全切除2例,剖宫产出血量及时间没有明显增加。结论妊娠合并子宫肌瘤对妊娠、分娩均有明显影响,妊娠合并子宫肌瘤者多能自然分娩,如果肌瘤阻碍胎儿下降影响产程,应行剖宫产术,剖宫产同时行子宫肌瘤剔除或切除子宫手术,是一种安全可行的方法,临床效果较好。

Analysis of 52 cases of pregnant women with uterine fibroids

Objective To investigate the impact of uterine fibroids in pregnant women on the mother and infant and to seek the appropriate treatment to ensure the health of both the mother and the infant. Methods The clinical data of 52 cases of pregnant women with uterine fibroids, including 24 cases of solitary myoma and 28 cases of multiple fibroids, were retrospectively analyzed. Results Among the 52 cases of pregnant women with uterine fibroids, 30 cases were vaginal natural delivery, 5 cases were fetal suction delivery and 17 cases were cesarean section delivery. 12 cases of cesarean section delivery had myomectomy and 2 cases were given subtotal hysterectomy, and there was no significant increase in amount and time of cesarean bleeding. Conclusion Uterine fibroids in pregnant women have impact on pregnancy and delivery. Most of pregnant women with uterine fibroids can have natural delivery. In cases of fibroids impeding fetal descent and the birth process, cesarean section should be performed. Concurrent myomectomy or hysterectomy with cesarean section is a safe and feasible practice with good clinical outcomes.