摘要
目的 探讨妊娠期子宫肌瘤剔除术的手术指征、并发症、妊娠结局以及影响手术成功的因素。方法 检索Pubmed（1989年1月～2004年4月）有关妊娠期行子宫肌瘤剔除术文献资料，对文献质量进行评价并提取相关信息．总结妊娠期行子宫肌瘤剔除术者的肌瘤特点、手术指征、并发症、妊娠结局等。结果 妊娠期行子宫肌瘤剔除术的86例中绝大部分在孕中期进行（12～26周），主要手术指征为腹痛（64％，35／55）和肌瘤过大或生长过快（20％．11／55）．术中无出血过多、子宫切除的并发症，术后自然流产4例．活产率达92％．分娩方式以剖宫产为主，占75％（53／71）。结论 在严格掌握适应证的基础上，妊娠期仍可安全地行子宫肌瘤剔除术。
Objective To explore the indications and complications of myomectomy during pregnancy, the pregnant outcome and the prognostic factors of the surgery. Methods The studies about myomectomy during pregnancy were searched in Pubmed from Jan 1989 to April 2004, followed by quality assessment and data extraction. The characteristic of leiomyoma, surgical indications, complications and pregnant outcome were analyzed. Results Myomectomy during pregnancy was performed mostly in the middle trimester. The main indications were pain caused by leiomyoma （64%, 35/55） and enlargement or rapidly growth of leiomyoma （20%, 11/55）. No hemorrhage or hysterectomy was reported. Four cases resulted in spontaneous abortion after the surgery. The live birth rate was 92%. Most of the women delivered by Caesarean section （75%）. Conclusion Myomectomy during pregnancy may be performed safely in carefully selected patients.
出处
《中国妇产科临床杂志》
2007年第5期335-338,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
