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目的了解畸形子宫对母儿妊娠结局的影响。方法对我院2002年1月至2012年1月10年间收治的250例畸形子宫合并妊娠进行回顾性分析,随机抽取我院同期分娩的子宫正常孕妇200例为对照组,两组病例就分娩方式、妊娠期并发症及围生儿情况进行比较,探讨畸形子宫对母儿妊娠结局的影响。结果畸形子宫组中早产、胎位异常、胎膜早破、脐带缠绕,胎盘粘连发生率高于对照组(P<0.01,P<0.05),剖宫产率高于对照组(P<0.01),但新生儿窒息率,围生儿死亡率及产后出血无显著差异(P>0.05)。结论畸形子宫妊娠期及分娩期并发症增加,应加强产前检查,产时监护,适时终止妊娠减少母儿不良妊娠结局。
Objective To understand the effect of deformity uterus on the pregnancy outcome of mother and child. Methods A retrospective analysis was performed on 250 cases of malformation womb merged in our hospital from January 2002 to January 2012 and randomly selected 200 cases of normal pregnant women delivered in the same period of our hospital as the control group. , Complications during pregnancy and perinatal situation were compared to explore the effect of abnormal uterus on the outcome of pregnant women and children. Results The incidence of preterm birth, abnormal fetal position, premature rupture of fetal membranes, umbilical cord entrapment and placenta accreta in deformity uterus group were higher than those in control group (P <0.01, P <0.05) However, neonatal asphyxia, perinatal mortality and postpartum hemorrhage no significant difference (P> 0.05). Conclusions Deformities of uterus during pregnancy and childbirth complications increased, prenatal care should be strengthened, time of custody, timely termination of pregnancy to reduce the adverse pregnancy outcomes.