| 晚期妊娠合并子宫肌瘤妊娠结局分析 |
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| 引用本文： | 杨娜娜,孙丽洲.晚期妊娠合并子宫肌瘤妊娠结局分析[J].江苏医药,2011,37(7). |
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| 作者姓名： | 杨娜娜 孙丽洲 |
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| 作者单位： | 南京医科大学第一附属医院妇产科,210036 |
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| 摘 要： | 目的探讨晚期妊娠合并子宫肌瘤对妊娠结局的影响。方法回顾性分析302例妊娠合并子宫肌瘤患者(肌瘤组)的临床资料,以同期妊娠无子宫肌瘤孕妇283例作为对照组,对其妊娠期并发症、分娩期并发症、分娩方式、手术中处理及新生儿结局进行比较。结果妊娠合并大于5 cm肌壁间子宫肌瘤患者发生早产、胎位异常、前置胎盘、胎儿窘迫、产后出血及低体重儿的风险大于对照组(P<0.01)。剖宫产术中行浆膜下及小型肌壁间肌瘤剔除并不增加术中出血风险(P<0.01)。术中剔除的肌瘤组织常规送病检,变性120例,变性率为71.4%。结论大于5 cm的肌壁间肌瘤增加产科并发症的风险。孕期肌瘤变性率高。浆膜下及小型肌壁间肌瘤剖宫产术中行肌瘤剔除术是安全可行的。
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| 关 键 词： | 晚期妊娠 子宫肌瘤 |
Analysis of pregnancy outcome during third trimester in women with uterine myoma |
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| YANG Nana,SUN Lizhou.Analysis of pregnancy outcome during third trimester in women with uterine myoma[J].Jiangsu Medical Journal,2011,37(7). |
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| Authors: | YANG Nana SUN Lizhou |
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| Institution: | YANG Nana,SUN Lizhou.Department of Obstetrics and Gynecology,First Affiliated Hospital,Nanjing Medical University,Nanjing 210036,CHINA |
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| Abstract: | Objective To investigate the effects of late pregnancy complicated with uterine myoma on pregnancy outcome.Methods Data of 302 pregnant cases with uterine myoma(group A) were analyzed,retrospectively,and 283 pregnant cases without uterine myoma(group B) were taken as the controls.Results Compared with group B,the risks for premature delivery,premature rupture of membrane,abnormal presentation,placenta previa,fetal distress,postpartum hemorrhage,small for gestational age infant and growth restriction of feta... |
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| Keywords: | Late pregnancy Uterine myoma |
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