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目的:探讨先天性子宫畸形妊娠结局情况。方法:选择2007年10月～2009年10月间该院妇产科诊治的先天性子宫畸形合并妊娠患者112例为观察组,同时段健康孕妇138例为对照组,观察并比较两组间妊娠的结局、足月分娩的方式及分娩并发症的情况。结果:①观察组中流产43例(38.39%),早产14例(12.50%),其比例均明显高于对照组(P<0.05)。观察组中足月产48例(42.86%),明显低于对照组(P<0.05)。②观察组中顺产14例(29.17%),明显低于对照组(P<0.05),观察组中剖宫产及阴道助产所占比例分别为54.17%和16.66%,均明显高于对照组(P<0.05)。③观察组中胎位不正22例(45.83%),胎膜早破13例(27.08%),产程延长11例(22.92%),产后出血6例(12.50%),其比例均明显高于对照组(P<0.05)。结论:先天性子宫畸形妊娠流产、早产、难产及分娩并发症的发生率较高,临床工作中应该引起重视。
Objective: To investigate the pregnancy outcome of congenital uterine malformations. Methods: From October 2007 to October 2009, 112 cases of congenital uterus malformation complicated with pregnancy in the obstetrics and gynecology department of the hospital were selected as the observation group. 138 healthy pregnant women in the same period were selected as the control group. The pregnancy between the two groups was observed and compared The outcome of full-term delivery and delivery complications. Results: (1) 43 cases (38.39%) of abortion and 14 cases (12.50%) of preterm birth in the observation group were significantly higher than those in the control group (P <0.05). In the observation group, 48 cases (42.86%) of full-term birth were significantly lower than the control group (P <0.05). ② In the observation group, 14 cases (29.17%) had spontaneous abortion, which were significantly lower than those in the control group (54.17% and 16.66%, respectively), and the rates of cesarean section and vaginal delivery in the observation group were significantly higher than those in the control group (P <0.05). ③ In the observation group, 22 cases (45.83%) had fetal malposition, 13 cases (27.08%) had premature rupture of membranes, 11 cases (22.92%) had prolonged labor and 6 cases (12.50%) had postpartum hemorrhage, (P <0.05). Conclusions: The incidence of miscarriage, premature labor, dystocia and childbirth complications in congenital uterine malformations is high, and should be paid more attention in clinical practice.