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目的:分析和了解妊娠合并子宫肌瘤对妊娠和分娩过程影响。方法:总结76例妊娠合并子宫肌瘤患者的临床资料,如年龄分布、孕龄、孕产史、肌瘤部位与大小及诊断与治疗。结果:6例孕前发现,70例孕期发现,孕妇年龄分布于25～46岁,30岁以上居多,经产妇多于初产妇。76例中肌壁间肌瘤最多有40例,浆膜下肌瘤22例,黏膜下肌瘤14例;单发肌瘤54例;并发流产10例,早产2例胎儿死亡,前置胎盘6例,孕7周妊娠合并子宫肌瘤红色变性2例(人流术后1周行次全子宫切手术),孕37～42周56例。56例中经阴道分娩者32例,剖宫产24例,孕妇均安全。结论:妊娠合并子宫肌瘤各孕期应高危管理,加强监护,遇到并发症者应正确处理。
Objective: To analyze and understand the impact of pregnancy with uterine fibroids on pregnancy and childbirth. Methods: The clinical data of 76 patients with uterine fibroids in pregnancy were summarized, such as age distribution, gestational age, pregnancy history, location and size of fibroids, diagnosis and treatment. Results: Six cases were found before pregnancy, 70 cases found during pregnancy, pregnant women aged 25 to 46 years old, mostly over the age of 30, more than the mothers through primipara. Among the 76 cases, there were at most 40 cases of intramural fibroids, 22 cases of subserosal fibroids, 14 cases of submucous myomas, 54 cases of single fibroids, 10 cases of miscarriage, 2 cases of preterm birth and 2 cases of placenta previa For example, pregnant 7 weeks pregnant with uterine fibroids red degeneration in 2 cases (1 week after abortion total hysterectomy), pregnant 37 to 42 weeks in 56 cases. 56 cases of vaginal delivery in 32 cases, 24 cases of cesarean section, pregnant women were safe. Conclusion: Pregnancy with uterine fibroids should be high-risk management during pregnancy, strengthen supervision, complications should be dealt with correctly.