摘要
目的探讨妊娠期及产后子宫肌瘤变化情况、妊娠合并子宫肌瘤患者分娩方式对于母儿影响。方法选取2010年6月~2019年6月北京大学人民医院收治的妊娠合并子宫肌瘤患者372例,对其肌瘤大小、分娩方式、剖宫产术中是否剔除子宫肌瘤进行回顾性分析并随访其产后情况。结果比较不同妊娠期子宫肌瘤大小,子宫肌瘤妊娠晚期(2.75±2.35) cm>妊娠早期(1.79±1.81) cm>产后(1.06±1.35) cm,差异有统计学意义(P <0.05)。妊娠合并子宫肌瘤患者剖宫产率(50.54%)高于未合并肌瘤妊娠患者(43.01%),差异有统计学意义(P=0.001)。与阴道分娩组相比,妊娠合并子宫肌瘤剖宫产组产后出血多、住院天数长(P=0.000);在剖宫产过程中切除子宫肌瘤与不切除子宫肌瘤相比,产后出血、产褥病率及住院时间方面均无统计学差异。结论妊娠合并子宫肌瘤在妊娠期子宫肌瘤有所增长,产后可减小。阴道分娩可减少产后出血及住院天数,有利于产后恢复。剖宫产术中是否剔除肌瘤,对于手术及术后并发症并无显著影响。
Objective To investigate the changes of fibroid in pregnancy and the influence on mothers and newborns. Methods 372 pregnant women complicated with fibroid in Peking University People’s Hospital from June 2010 to June 2019 were involved, then retrospectively analyzed the clinical data and followed the pregnancy outcome.Results Compared the size of fibroid in early, late pregnancy and postpartum, the size of fibroid in late pregnancy(2.75±2.35) cm > early pregnancy(1.79±1.81) cm > postpartum(1.06±1.35) cm, which had significant difference,(P < 0.05). The cesarean section rate was 50.54% of women with fibroid, which was higher compared with non-fibroid pregnant women(43.01%), with significant difference(P = 0.001). There was more postpartum hemorrhage in the cesarean section group and the length of stay which was statistically different from that in the vaginal delivery group(P = 0.000). There was no significant difference in postpartum hemorrhage, puerperal disease rate and hospitalization time whether removed fibroids during the cesarean section. Conclusion The size of fibroids increased during pregnancy, and significantly reduced postpartum. Delivery from vagina could decrease bleeding and had shorter hospital stays, better for the prognosis of the patients with fibroid. Remove the fibroids in the process of cesarean section did not significantly influence the surgery and complications.
作者
解珺淑
董薇
闫丹
张国翔
尹秀菊
张晓红
XIE Junshu;DONG Wei;YAN Dan;ZHANG Guoxiang;YIN Xiuju;ZHANG Xiaohong(Department of Obstetrics and Gynecology,Peking University People’s Hospital,Beijing 100044,China)
出处
《中国妇产科临床杂志》
CSCD
2021年第6期623-626,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
基金
国家科技支撑计划(No.2015BAI13B06)。
关键词
子宫肌瘤
妊娠
阴道分娩
剖宫产
fibroid
pregnancy
vaginal delivery
cesarean section
