112例先天性子宫畸形妊娠结局的临床研究

目的:探讨先天性子宫畸形妊娠结局情况。方法:选择2007年10月～2009年10月间该院妇产科诊治的先天性子宫畸形合并妊娠患者112例为观察组,同时段健康孕妇138例为对照组,观察并比较两组间妊娠的结局、足月分娩的方式及分娩并发症的情况。结果:①观察组中流产43例(38.39%),早产14例(12.50%),其比例均明显高于对照组(P<0.05)。观察组中足月产48例(42.86%),明显低于对照组(P<0.05)。②观察组中顺产14例(29.17%),明显低于对照组(P<0.05),观察组中剖宫产及阴道助产所占比例分别为54.17%和16.66%,均明显高于对照组(P<0.05)。③观察组中胎位不正22例(45.83%),胎膜早破13例(27.08%),产程延长11例(22.92%),产后出血6例(12.50%),其比例均明显高于对照组(P<0.05)。结论:先天性子宫畸形妊娠流产、早产、难产及分娩并发症的发生率较高,临床工作中应该引起重视。

Clinical study on pregnant outcome of 112 cases with congenital uterine malformation

Objective:To explore the pregnant outcome of the cases with congenital uterine malformation.Methods:A total of 112 pregnant women with congenital uterine malformation who were diagnosed and treated in department of gynecology and obstetrics in the hospital from October 2007 to October 2009 were selected as observation group,at the same time,138 healthy pregnant women were selected as control group,the pregnancy outcomes,the modes of full-term delivery and delivery complications in the two groups were observed and compared.Results:The abortion rate and premature birth rate in observation group were 38.39%(43 cases) and 12.50%(4 cases),respectively,which were significantly higher than those in control group(P<0.05).The full-term delivery rate in observation group was 42.86%(48 cases),which was significantly lower than that in control group(P<0.05).The natural delivery rate in observation group was 29.17%(14 cases),which was significantly lower than that in control group(P<0.05).The proportions of cesarean section and vaginal delivery in observation group were 54.17% and 16.66%,which were significantly higher than those in control group(P<0.05).The incidences of malposition,premature rupture of membrane,prolonged labor,and postpartum hemorrhage in observation group were 45.83%(22 cases),27.08%(13 cases),22.92%(11 cases),and 12.50%(6 cases),respectively,which were significantly higher than those in control group(P<0.05).Conclusion:The incidences of miscarriage,premature delivery,dystocia,and delivery complications in the pregnant women with congenital uterine malformation are high,more attention should be paid to in clinical work.