临床合理用药杂志
臨床閤理用藥雜誌
림상합리용약잡지
CHINESE JOURNAL OF CLINICAL RATIONAL DRUG USE
2014年
35期
18-20
,共3页
妊娠%子宫肌瘤%并发症
妊娠%子宮肌瘤%併髮癥
임신%자궁기류%병발증
Pregnancy%Fibroid%Complication
目的：探讨妊娠合并子宫肌瘤的最佳临床处理方法。方法对78例妊娠合并子宫肌瘤患者（观察组）资料进行回顾性分析，并与无子宫肌瘤的孕产妇（对照组）进行对比，分析妊娠合并子宫肌瘤的患者孕期、分娩期各种并发症的发生情况及处理方法。结果观察组先兆流产、先兆早产、胎位异常、胎儿宫内发育迟缓（IUGR）、胎膜早破（PROM）发生率明显高于对照组，比较差异有统计学意义（P <0.05）；而前置胎盘、妊娠期糖尿病（GDM）发生率与对照组比较差异无统计学意义（P >0.05）。观察组分娩期脐带绕颈、低体质量儿、早产发生率高于对照组，差异有统计学意义（P <0.05）；而胎盘早剥、新生儿窒息、产后出血发生率2组比较差异无统计学意义（P >0.05）；观察组剖宫产率71.8%明显高于对照组的52.6%，差异有统计学意义（P <0.05）。有27例在剖宫产同时对子宫肌瘤进行剔除，除手术时间延长外，出血量无明显增加。结论子宫肌瘤可增加孕、产期并发症发生率；而行剖宫产的产妇，术中并行子宫肌瘤摘除术是可行的。
目的：探討妊娠閤併子宮肌瘤的最佳臨床處理方法。方法對78例妊娠閤併子宮肌瘤患者（觀察組）資料進行迴顧性分析，併與無子宮肌瘤的孕產婦（對照組）進行對比，分析妊娠閤併子宮肌瘤的患者孕期、分娩期各種併髮癥的髮生情況及處理方法。結果觀察組先兆流產、先兆早產、胎位異常、胎兒宮內髮育遲緩（IUGR）、胎膜早破（PROM）髮生率明顯高于對照組，比較差異有統計學意義（P <0.05）；而前置胎盤、妊娠期糖尿病（GDM）髮生率與對照組比較差異無統計學意義（P >0.05）。觀察組分娩期臍帶繞頸、低體質量兒、早產髮生率高于對照組，差異有統計學意義（P <0.05）；而胎盤早剝、新生兒窒息、產後齣血髮生率2組比較差異無統計學意義（P >0.05）；觀察組剖宮產率71.8%明顯高于對照組的52.6%，差異有統計學意義（P <0.05）。有27例在剖宮產同時對子宮肌瘤進行剔除，除手術時間延長外，齣血量無明顯增加。結論子宮肌瘤可增加孕、產期併髮癥髮生率；而行剖宮產的產婦，術中併行子宮肌瘤摘除術是可行的。
목적：탐토임신합병자궁기류적최가림상처리방법。방법대78례임신합병자궁기류환자（관찰조）자료진행회고성분석，병여무자궁기류적잉산부（대조조）진행대비，분석임신합병자궁기류적환자잉기、분면기각충병발증적발생정황급처리방법。결과관찰조선조유산、선조조산、태위이상、태인궁내발육지완（IUGR）、태막조파（PROM）발생솔명현고우대조조，비교차이유통계학의의（P <0.05）；이전치태반、임신기당뇨병（GDM）발생솔여대조조비교차이무통계학의의（P >0.05）。관찰조분면기제대요경、저체질량인、조산발생솔고우대조조，차이유통계학의의（P <0.05）；이태반조박、신생인질식、산후출혈발생솔2조비교차이무통계학의의（P >0.05）；관찰조부궁산솔71.8%명현고우대조조적52.6%，차이유통계학의의（P <0.05）。유27례재부궁산동시대자궁기류진행척제，제수술시간연장외，출혈량무명현증가。결론자궁기류가증가잉、산기병발증발생솔；이행부궁산적산부，술중병행자궁기류적제술시가행적。
Objective To explore the best clinical treatment for pregnancy complicated with hysteromyoma. Methods 78 cases of pregnant women with uterine myoma(observation group)were analyzed retrospectively,and pregnant women without uterus myoma(control group)were compared,and the treatment method for the analysis of various complications of pregnancy,childbirth period of pregnancy with uterine fibroids. Results During pregnancy,the incidence of threatened abor-tion,threatened premature labor,abnormal fetal position,intrauterine growth retardation(IUGR),premature rupture of mem-branes(PROM)of observation group was higher than control group,the differences were statistically significant(P < 0. 05);but the incidence of the placenta previa and gestational diabetes mellitus(GDM)between two groups was no significant differ-ence(P > 0. 05). During childbirth,the incidence of cord around neck,low birth weight and premature birth of the observation group was higher than the control group,the differences were statistically significant(P < 0. 05);but the incidence of placental abruption,neonatal asphyxia,postpartum hemorrhage between two groups was no significant difference(P > 0. 05);observation group cesarean section rate was 71. 8% ,higher than 52. 6% of the control group(P < 0. 05). 27 cases of caesarean birth re-moved uterus leiomyomas during the operation,in addition to operation time,there was no increased bleeding. Conclusion U-terine fibroids may increase the incidence of complications during pregnancy and childbirth,and cesarean section uterine myo-ma enucleation in parallel is feasible.
