摘要
目的:探讨子宫肌瘤患者分别采用肌瘤剔除术或带瘤对妊娠结局影响差异。方法:回顾性收集2017年12月—2019年4月本院收治的子宫肌瘤患者且均顺利妊娠分娩73例临床资料。根据治疗方式不同分为手术组46例,接受腹腔镜手术治疗;保守组43例,住院行保守治疗。观察分析两组妊娠结局。结果:两组患者妊娠期甲减、妊娠期肝内胆汁淤积症、妊娠期糖尿病、妊娠期高血压等发生率无差异(P>0.05);手术组与保守组剖宫产(89.1%、86.0%)、胎儿窘迫(13.0%、9.3%)、产后出血(2.2%、4.7%)等不良妊娠结局的发生率无差异(P>0.05),但手术组发生胎膜早破(17.4%)、早产(13.0%)几率均高于保守组(4.7%、2.3%)(P<0.05)。结论:子宫肌瘤患者是否携带肌瘤对妊娠结局并无明显影响。
Objective:To explore the difference of pregnancy outcomes between the pregnant women with hysteromyomectomy and the pregnant women with uterine myoma.Methods:The clinical data of 73 pregnant women with uterine myoma after delivery from December 2017 to April 2019 were collected retrospectively.These women were divided into group A(46 women with laparoscope hysteromyomectomy during pregnancy)and group B(43 women with hospitalized expectant treatment of uterine myoma).The pregnancy outcomes of the women in the two groups were observed.Results:There were no significant differences in the incidences of hypothyroidism during pregnancy,intrahepatic cholestasis of pregnancy,gestational diabetes mellitus during pregnancy,and gestational hypertension of the women between the two groups(P>0.05).The incidences of adverse pregnancy outcomes,such as cesarean section(89.1%vs.86.0%),fetal distress(13.0%vs.9.3%),and postpartum hemorrhage(2.2%vs.4.7%)of the women had no significant different between group A and group B(P>0.05),but the incidences of preterm rupture of membranes(17.4%)and preterm delivery(13.0%)of the women in group A were significant higher than those(4.7%and 2.3%)of the women in group B(P<0.05).Conclusion:There is no significant difference of pregnancy outcomes between the pregnant women with hysteromyomectomy and the pregnant women with uterine myoma.
作者
简燕琳
王英
李成利
JIAN Yanlin;WANG Ying;LI Chengli(Pidu District People's Hospital of Chengdu, Sichuan Province, 611730)
出处
《中国计划生育学杂志》
2021年第2期385-387,391,共4页
Chinese Journal of Family Planning
基金
四川医事卫生法治科研课题(YF19-Y18)。
关键词
子宫肌瘤
子宫肌瘤剔除术
保守治疗
术后妊娠
带瘤妊娠
妊娠结局
Uterine myoma
Hysteromyomectomy
Expectant treatment
Postoperative pregnancy
Pregnancy with uterine myoma
Pregnancy outcomes
