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目的:探讨影响妊娠合并子宫肌瘤孕妇分娩出血量的相关因素。方法:2007～2011年在产前检查时发现子宫肌瘤且至少有1个直径≥5 cm肌瘤的孕妇192例,分析产妇的年龄、产次、分娩方式、新生儿体重及肌瘤的数量、单发肌瘤的最大径线、多发肌瘤最大径线之和、肌瘤的位置与分娩出血量的关系。结果:孕妇的年龄及肌瘤的数量与出血量呈正相关,而分娩方式、新生儿体重及肌瘤的大小和位置与出血量无显著相关性。结论:高龄和多发性子宫肌瘤是妊娠合并子宫肌瘤孕妇分娩出血量多的重要因素,必须提前做好产前准备,备足充足的血源,以避免严重产后出血导致产妇死亡。
Objective: To explore the factors that affect the amount of bleeding during pregnancy in pregnant women with uterine fibroids. Methods: A total of 192 pregnant women with uterine fibroids and at least one fibroid ≥5 cm in diameter were examined during the prenatal period from 2007 to 2011. The age, parity, mode of delivery, neonatal body weight and number of fibroids were analyzed , The largest diameter of single myoma, multiple fibroids and the largest diameter of the line, the location of fibroids and the relationship between the amount of bleeding. Results: There was a positive correlation between the age of pregnant women and the number of fibroids and the amount of bleeding. There was no significant correlation between the mode of delivery, the weight of neonates and the size and location of fibroids and the amount of bleeding. Conclusion: The elderly and multiple uterine fibroids are the important factors of pregnant women with bleeding during pregnancy. It is necessary to make the prenatal preparation well in advance to provide enough blood to avoid serious postpartum hemorrhage leading to maternal mortality.