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目的:探讨妊娠合并子宫肌瘤对妊娠及分娩的影响及分娩方式的选择。方法:选取我院10年内接收并分娩的7100例患者,其中妊娠合并子宫肌瘤的患者40例(0.563%),对其采用B超进行检查,确定其病患部位及大小,然后根据相应结果采取对应措施并讨论其对妊娠及分娩的影响。结果:40例妊娠合并子宫肌瘤的患者中发生并发症的12例;采用阴道分娩的8例,单纯剖宫产的3例,剖宫产加子宫肌瘤剔除术的29例;且患者术中出血量均无造成患者生命的危险;产后进行复查全部患者子宫恢复良好,且恶露持续时间相较基本类同。结论:对妊娠期妇女进行检查时,一旦诊断出妊娠合并子宫肌瘤者应立即列为高危孕妇管理中,其分娩方式根据患者肌瘤的部位及大小采取相应的方法,且在分娩时采用剖宫产加子宫肌瘤剔除术也是比较可行的方式。
Objective: To investigate the impact of pregnancy combined with uterine fibroids on pregnancy and childbirth and delivery options. Methods: A total of 7100 patients who received and delivered in our hospital within 10 years were enrolled. Among them, 40 (0.563%) patients with uterine fibroids in pregnancy were inspected by B ultrasound to determine the location and size of their patients. According to the corresponding results Take countermeasures and discuss their impact on pregnancy and childbirth. Results: Of the 40 cases of pregnancy complicated with uterine fibroids, 12 cases were complicated by complications, 8 cases were vaginal delivery, 3 cases were simple cesarean section, 29 cases were cesarean plus myomectomy. No bleeding in the risk of causing the patient’s life; postpartum for review All patients recovered well, and the duration of lochia compared to the basic similarities. Conclusions: When examining pregnant women, once the diagnosis of pregnancy with uterine fibroids should be immediately listed as high-risk pregnant women management, the mode of delivery according to the location and size of patients with fibroids take the appropriate method, and in the delivery of anatomy Palace and uterine myomectomy is more feasible way.