摘要
目的:总结子宫发育异常合并妊娠晚期患者的临床特点和母儿结局,探讨其在围生期的处理。方法:收集我院产科分娩的99例子宫发育异常合并妊娠的孕晚期患者(畸形子宫组)及随机抽取100例正常分娩的孕妇(对照组)的临床资料,采取回顾性研究方法比较两组的临床特点、母儿结局。结果:畸形子宫组的不良孕产史、剖宫产率、先兆流产、胎盘植入、胎膜早破、胎位异常、早产的发生率高于对照组(P<0.05),新生儿平均出生体重低于对照组(P<0.05),产后出血率及围生儿死亡率与对照组比较,差异无统计学意义(P>0.05)。完全中隔子宫和不全中隔子宫的剖宫产率低于残角子宫、单角子宫、双子宫、鞍状子宫、横隔子宫(P<0.05);双子宫、双角子宫、鞍状子宫和完全中隔子宫新生儿出生体重与其他类型畸形组比较差异有统计学意义(P<0.05)。结论:对于子宫发育异常合并妊娠孕妇应放宽剖宫产指征,并警惕产后出血及其他妊娠并发症的发生。
Objective： The clinical features, maternal and fetal outcomes and management of pregnant women with uterine malformation during the perinatal period were investigated. Methods ：99 pregnant patients with uterine malformation as research group and 100 pregnant patients without uterine malformation as control group were recruited in Peking Union Medical College hospital from January 1 st in 2000 to September 30th in 2008. A retrospective study was done to compare the clinical features, maternal and fetal outcomes in these two groups. Clinical management of pregnancy with uterine malformation. Results：In the research group, the incidence of caesarean section, threatened abortion, preterm rupture of membrane, abnormal presentation, and placenta accrete were higher than those in the control group. The average fetal weight was smaller than that of control group. There were no significant differences in postpartum hemorrhage and perinatal child death in these two groups. Conclusions：Patients with uterine malformations more likely undergo C-section. Postpartum hemorrhage and other pregnant complications should be paid more attention.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2010年第1期33-36,共4页
Journal of Practical Obstetrics and Gynecology
关键词
子宫发育异常
妊娠
妊娠并发症
妊娠结局
Uterine malformation
Pregnant
Pregnant complication
Perinatal period
