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目的近年来,随着晚婚、高龄孕妇增多及围产医学发展,妊娠合并子宫肌瘤越来越受到人们关注,本文就妊娠合并子宫肌瘤在剖宫产术中处理进行探讨。方法回顾我院近4年来分娩人数中妊娠合并子宫肌瘤治疗的处理,观察组即为妊娠合并子宫肌瘤52例,对照组为随机选取无子宫肌瘤单纯施行剖宫产患者60例,观察组与对照组对照分析。结果剖宫产术中行子宫肌瘤剔除术是可行的,如观察组产后感染率为2.3%,对照组产后感染率为2.1%,几乎没有什么差别。而观察组的产后出血率和对照组的产后出血率差不多,分别为5.8%和5.0%。观察组低体重儿(<2 500 g)为4%,对照组低体重儿(<2 500 g)为1%,说明妊娠合并子宫肌瘤在剖宫产术中处理的低体重儿较无子宫肌瘤单纯施行剖宫产患者的低体重儿来说,比例较高。结论妊娠合并子宫肌瘤时肌瘤机械压迫及宫腔畸形有可能导致胎儿生长受限。
Objectives In recent years, with late marriage, older pregnant women and perinatal medicine development, pregnancy with uterine fibroids more and more attention, this article on pregnancy with uterine fibroids in cesarean section in the treatment. Methods In our hospital in the past 4 years, the number of childbirth in pregnancy with uterine fibroids treatment, the observation group is pregnant with uterine fibroids in 52 cases, the control group was randomly selected without uterine fibroids simple implementation of cesarean section in 60 cases, observed Group and control group control analysis. Results Intraoperative cesarean myomectomy is feasible, as viewed group postpartum infection rate was 2.3% in the control group was 2.1% postpartum infection, there is little difference. The postpartum hemorrhage rate in the observation group was similar to that in the control group, 5.8% and 5.0% respectively. 4% in low birth weight children (<2 500 g) and 1% in low birth weight children (<2 500 g) in the observation group, indicating that the incidence of uterine fibroids in pregnant women with low birth weight Fibromyxegous simple implementation of cesarean section in patients with low birth weight, a higher proportion. Conclusion Pregnancy with uterine fibroids fibroid mechanical compression and uterine malformations may lead to fetal growth restriction.