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目的研究分析妊娠合并子宫肌瘤患者对分娩方式的选择及对分娩结局的影响。方法选取金华市中心医院2013年5月-2015年5月收治的妊娠合并子宫肌瘤患者100例作为研究组,选取同时期妊娠无合并子宫肌瘤正常产妇100例为对照组,比较两组产妇的分娩方式以及分娩结局。结果对照组发生剖宫产率26.0%,研究组为43.0%,两组比较差异有统计学意义(P<0.05);对照组发生先兆流产率4.0%、胎位异常3.0%、早产4.0%,研究组先兆流产发生率21.0%、胎位异常16.0%、早产15.0%,两组比较差异有统计学意义(P<0.05)。结论妊娠合并子宫肌瘤增加了剖宫产率和妊娠并发症的发生率,使胎儿早产率升高。应加强对妊娠合并子宫肌瘤产妇的重视,做好产前检查和保健工作,减少妊娠并发症以及早产的发生率。
Objective To study the choice of mode of delivery and the impact on delivery outcome in patients with pregnancy complicated with uterine fibroids. Methods 100 cases of pregnant women with uterine fibroids admitted from May 2013 to May 2015 in Jinhua Central Hospital were selected as the study group. One hundred normal pregnant women without uterine fibroids in the same period were selected as the control group. Mode of delivery and delivery outcomes. Results The incidence of cesarean section was 26.0% in the control group and 43.0% in the study group, with significant difference between the two groups (P <0.05). In the control group, rates of threatened miscarriage were 4.0%, abnormal fetal position 3.0% and premature 4.0% The incidence of threatened abortion was 21.0%, abnormal fetal position was 16.0%, and premature delivery was 15.0%. There was significant difference between the two groups (P <0.05). Conclusion Pregnancy with uterine fibroids increases the incidence of cesarean section and pregnancy complications, so that the fetus rate of premature birth increased. Should pay more attention to pregnant women with uterine fibroids, do prenatal care and health care, reduce the incidence of pregnancy complications and preterm birth.