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目的探讨子宫肌瘤剔除术后妊娠情况及其影响因素。方法对50例子宫肌瘤剔除术患者的一般资料、手术治疗情况及术后妊娠情况、妊娠结局等资料进行统计分析。结果 50例患者术后成功妊娠37例(74.0%),妊娠期间发生子宫破裂1例(2.7%),孕早期自然流产1例(2.7%);50例患者术前有流产史者14例(28.0%)。子宫肌瘤患者年龄、术前不孕史、子宫肌瘤剔除数量及盆腔粘连程度等是影响术后妊娠与否的因素。结论术前有不孕史患者术后妊娠几率较高;子宫肌瘤剔除术可降低术后自然流产率;患者年龄、术中子宫肌瘤剔除数量、合并盆腔粘连程度等因素均可影响术后妊娠情况;手术时间长短及出血量等因素对术后妊娠情况无显著影响。
Objective To investigate the pregnancy and its influencing factors after uterine myomectomy. Methods 50 cases of myomectomy patients general information, surgical treatment and postoperative pregnancy, pregnancy outcome and other data for statistical analysis. Results Fifty patients achieved successful pregnancy in 37 cases (74.0%), one case of uterine rupture during pregnancy (2.7%) and one case of spontaneous abortion in early pregnancy (2.7%). Fifty patients had abortion history in 14 cases 28.0%). The age of patients with uterine fibroids, preoperative infertility history, the number of myomectomy and pelvic adhesions is the impact of postoperative pregnancy or not. Conclusions The incidence of postoperative pregnancy is high in preoperative infertility patients. The myomectomy can reduce the postoperative spontaneous abortion rate. The age of patients, the number of uterine myomectomy, the degree of pelvic adhesions and other factors may influence postoperative outcome Pregnancy; the length of operation and bleeding and other factors on postoperative pregnancy had no significant effect.