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目的:了解子宫肌瘤合并妊娠对母儿预后的影响。方法:选取2011年于该院分娩且合并子宫肌瘤患者291例及同期无子宫肌瘤分娩患者291例进行回顾性分析。结果:两组胎膜早破、胎位异常、前置胎盘、早产、胎儿生长受限(FGR)、胎儿窘迫及新生儿窒息的发生率等差异均无统计学意义(P>0.05),而产后出血的发生率差异有统计学意义(P<0.05);与<2 cm肌瘤组相比较,>5 cm肌瘤组产后出血发生率明显增加,差异有统计学意义(P<0.05);与浆膜下肌瘤组比较,黏膜下肌瘤及肌壁间肌瘤组产后出血的发生率显著增加,差异有统计学意义(P<0.05)。不同数目子宫肌瘤间产后出血的发生率差异无统计学意义(P>0.05)。结论:妊娠合并子宫肌瘤患者产后出血的发生率增加,但并没有增加其他孕期合并症及对胎儿产生不良影响;>5 cm肌瘤及黏膜下、肌壁间肌瘤明显增加了产后出血的发生率,应于分娩期高度重视。
Objective: To understand the effect of pregnancy with uterine fibroids on the prognosis of maternal and child. Methods: A retrospective analysis was performed on 291 patients with delivery of uterine fibroids and 291 patients without uterine fibroids during delivery in 2011 in our hospital. Results: There were no significant differences in the incidence of premature rupture of membranes, abnormal fetal position, placenta previa, fetal growth restriction (FGR), fetal distress and neonatal asphyxia between the two groups (P> 0.05) (P <0.05). Compared with <2 cm fibroids group, the incidence of postpartum hemorrhage> 5 cm fibroids group increased significantly (P <0.05), and the difference was statistically significant The incidence of postpartum hemorrhage in submucous myoma and myofibrous myoma was significantly higher than that in subserosal myoma (P <0.05). There was no significant difference in the incidence of postpartum hemorrhage between different numbers of uterine fibroids (P> 0.05). Conclusion: The incidence of postpartum hemorrhage in pregnant women with uterine fibroids increased, but did not increase other complications during pregnancy and adverse effects on the fetus;> 5 cm fibroids and submucosa, intramural fibroids significantly increased postpartum hemorrhage The incidence should be highly valued in labor.