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目的总结分析本院妊娠合并先天性子宫畸形孕妇的妊娠情况及最终结局,以累积该病的产科处理经验并改善预后。方法对1993年1月～2010年12月间在我院住院的118例先天性子宫畸形的孕妇进行系统性回顾分析,并选择同期正常子宫妊娠28663例为对照组。结果子宫畸形组的胎位异常、早产的发生率(60.17%vs5.40%,61.86%vs4.96%)均高于正常对照组,剖宫产率(80.50%vs47.19%)也高于正常对照组。结论妊娠合并子宫畸形的产科并发症发生率较高,剖宫产率也显著升高,应引起界内人士的广泛关注,并提高孕前或妊娠早期子宫畸形的诊断率,降低产科并发症。做到早知道早预防或早干预。
Objective To summarize and analyze the pregnancy status and final outcome of pregnant women with congenital uterine malformation in our hospital in order to accumulate obstetric management experience and improve the prognosis of the disease. Methods A retrospective analysis was performed on 118 pregnant women with congenital uterine malformation who were hospitalized in our hospital from January 1993 to December 2010, and 28 663 normal uterine pregnancies at the same period were selected as the control group. Results Fetal abnormalities in uterine malformation group, the incidence of preterm birth (60.17% vs5.40%, 61.86% vs4.96%) were higher than the normal control group, cesarean section rate (80.50% vs47.19%) was also higher than normal Control group. Conclusion The incidence of obstetric complications in pregnancy complicated with uterine malformations is high, and the rate of cesarean section is also significantly increased, which should arouse widespread concern in the field and improve the diagnosis rate of uterine malformations before and during pregnancy, and reduce the obstetric complications. Do know early prevention or early intervention.