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目的:分析西宁地区65例妊娠合并子宫肌瘤患者的妊娠结局,了解高海拔地区妊娠合并子宫肌瘤对妊娠及分娩的影响。方法:采用回顾性分析方法,收集相关资料,进行统计分析。结果:两组孕妇在孕期所出现的并发症中观察组有7例在孕早期出现先兆流产症状,对照组有2例在孕早期出现先兆流产症状,二者有显著性差别。两组孕妇分娩期并发症中,观察组胎儿宫内窘迫、宫缩乏力、产程延长、产后大出血等均明显高于对照组,P<0.05,二者有显著性差别,在两组孕妇最终分娩方式及术中处理结果中,观察组剖宫产明显高于对照组,二者有显著性差别P<0.01。结论:在西宁地区,妊娠合并子宫肌瘤对妊娠、分娩均有影响,使得在妊娠期、分娩期、产褥期并发症明显增加,因此对妊娠合并子宫肌瘤的孕妇可适当放宽剖宫产指征。
Objective: To analyze the pregnancy outcome in 65 cases of pregnant women with uterine fibroids in Xining, and to understand the impact of pregnancy with uterine fibroids on pregnancy and delivery in high altitude areas. Methods: A retrospective analysis method was used to collect relevant data for statistical analysis. Results: In the two groups of pregnant women in the complications occurred during the observation group, 7 cases showed symptoms of threatened abortion during the first trimester, while 2 cases in the control group showed symptoms of threatened abortion in the first trimester. There was a significant difference between the two groups. Among the two groups of complications of labor during childbirth, the fetal distress, uterine atony, prolonged labor and postpartum hemorrhage in the observation group were significantly higher than those in the control group (P <0.05). There was a significant difference between the two groups in the final delivery Methods and results of intraoperative treatment, the observation group, cesarean section was significantly higher than the control group, a significant difference between the two P <0.01. Conclusion: In Xining area, pregnant women with uterine fibroids have the effect on pregnancy and childbirth, which can significantly increase the complications during pregnancy, childbirth and puerperium, so pregnant women with uterine fibroids may be appropriate to relax cesarean indications .