子宫畸形对妊娠及分娩结局的影响

目的探讨子宫畸形对妊娠和分娩结局的影响，为子宫畸形患者围产期临床诊疗积累经验。方法对4273例产妇进行回顾性分析，探讨其中45例妊娠合并子宫畸形者的分娩处理原则和围产结局。结果子宫畸形组孕妇胎位异常、胎膜早破、脐带绕颈、前置胎盘、羊水过少、产后出血、胎盘粘连、低体质量儿、新生儿窒息、死胎死产方面较正常子宫组孕妇显著升高，差异均有统计学意义（x^2=41．2、37．2、36．9、25．7、25．3、13．8、15．2、49．3、30．6、21．4，均P〈0．05）。子宫畸形组孕妇剖宫产率显著高于正常子宫妊娠组（82．2％与16．93％），差异有统计学意义（X^2=4．31，P〈0．05）。结论子宫畸形孕妇妊娠并发症多，手术产率高，合并子宫畸形为妊娠高危因素，临床上应引起足够重视。

Clinical evaluation of the effects of uterine malformation on the pregnancy and delivery

Objective To investigate the effects of uterine malformation on the pregnancy and delivery, and to accumulate experience of uterine malformations obstetric clinical diagnosis and treatment of perinatal. Methods The clinical data of 4 273 cases of pregnant women were retrospectively analyzed. Of them,45 patients with uterine malformation. The effects of uterine malformation on the pregnancy and delivery were evaluated. Results The ratio of development of premature delivery, premature rupture of membranes, abnormal fetal position, retained placenta and perinatal complications in uterine malformation pregnancy group was significantly higher than normal uterine pregnancy group(P＜0.05).The ratio of cesarean section in uterine malformation group also significantly higher than the yield of normal uterine pregnancy(82.2%vsl6.93% ,P＜0.05). Conclusion Pregnant women with uterine malformations had more obstetric complications, higher operative delivery rate, the uterine malformation was high risk factor for the pregnancy,clinical attention should be paid.