CAJ | 학술논문

目的探讨晚期妊娠合并子宫肌瘤的临床特征和处理对策。方法对我院2010年1月~2012年6月共收治的55例妊娠合并子宫肌瘤资料进行回顾性分析。结果晚期妊娠合并子宫肌瘤致胎位异常14例，前置胎盘6例，早产18例，肌瘤蒂扭转2例，其中经阴道分娩24例，剖宫产31例，剖宫产同时行肌瘤剔除术22例，且手术失血量和手术时间没有显著增加，利于术后子宫缩复。结论妊娠合并子宫肌瘤明显增加胎位异常、早产、宫缩乏力的发病率，影响产后子宫恢复，剖宫产同时行子宫肌瘤剥除术并没有增加手术风险，是安全可行和必要的。
목적탐토만기임신합병자궁기류적림상특정화처리대책。방법대아원2010년1월~2012년6월공수치적55례임신합병자궁기류자료진행회고성분석。결과만기임신합병자궁기류치태위이상14례，전치태반6례，조산18례，기류체뉴전2례，기중경음도분면24례，부궁산31례，부궁산동시행기류척제술22례，차수술실혈량화수술시간몰유현저증가，리우술후자궁축복。결론임신합병자궁기류명현증가태위이상、조산、궁축핍력적발병솔，영향산후자궁회복，부궁산동시행자궁기류박제술병몰유증가수술풍험，시안전가행화필요적。
Objective To investigate pregnancy with uterine fibroids : clinical characteristics and treatment measures. Method to my courtyard in 2010 January to 2012 June a total of 55 cases of pregnancy complicated with uterine myoma were retrospectively analyzed. Outcome of pregnancy with uterine myoma induced fetal abnormalities in 14 cases, 6 cases of placenta previa, premature delivery in 18 cases, leiomyoma torsion in 2 cases, of which 24 cases by vaginal delivery, cesarean section in 31 cases of cesarean section at the same time, 22 cases of myomectomy, operation time and blood loss and operation did not increase significantly, operation after uterine retraction. Conclusion: pregnancy with uterine fibroids significantly increased fetal abnormalities, prematurity, uterine atony incidence, effect of postpartum uterine recovery, cesarean section at the same time uterine fibroids cystectomy and did not increase the risk of operation, is safe and feasible and necessary.