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目的探讨妊娠合并子宫肌瘤的临床处理措施。方法回顾分析2006年1月至2008年1月在本院住院的60例妊娠合并子宫肌瘤患者的临床资料。结果本组无一例发生产后出血,产褥感染及子宫复旧不良等并发症。手术时间(55±16)min。结论临床确诊后应首先给予保守治疗,包括:卧床休息;充分静脉补液及一般支持治疗;适当给予镇静剂、止痛剂;下腹部放置冰袋;有宫缩者予以保胎治疗;应用抗生素预防感染。绝大多数经保胎支持治疗后症状可逐渐缓解,得以继续妊娠。但若保守治疗失败,可考虑对变性的肌瘤予以剔除。总之,妊娠合并子宫肌瘤并非少见,在妊娠各期及产时注意监测和预防相关并发症的发生。
Objective To investigate the clinical treatment of uterine fibroids in pregnancy. Methods The clinical data of 60 pregnant women with uterine fibroids who were hospitalized in our hospital from January 2006 to January 2008 were retrospectively analyzed. Results None of this group occurred postpartum hemorrhage, puerperal infection and uterine involution and other complications. The operation time (55 ± 16) min. Conclusion Clinical diagnosis should be given first conservative treatment, including: bed rest; adequate intravenous rehydration and general supportive care; appropriate sedatives, analgesics; lower abdomen placed ice bag; tocolysis to be miscarriage treatment; antibiotics to prevent infection. The vast majority of symptoms after fetal care support can be gradually alleviated, to continue the pregnancy. However, if conservative treatment fails, consider the degeneration of fibroids to be removed. In short, pregnant women with uterine fibroids is not uncommon, pay attention to monitoring and prevention of complications during pregnancy and during pregnancy.