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目的了解纵隔子宫对母儿妊娠结局的影响。方法对我院2001年1月至2012年1月11年间收治的184例纵隔子宫合并妊娠进行回顾性分析,分为完全纵隔和不全纵隔组,随机抽取我院同期分娩的子宫正常孕妇200例为对照组,各组病例就分娩方式、妊娠期并发症及围生儿情况进行比较,探讨纵隔子宫对母儿妊娠结局的影响。结果 184纵隔子宫中妊娠292次流产108次,早产46例,脐带缠绕98例,胎膜早破38例,前置胎盘11例,分娩方式中剖宫产171例,剖宫产率92.9%,均高于正常对照组(P<0.05),顺产11例小于对照组;终止妊娠的孕周完全纵隔子宫多在37至39周之间,早产2均在34周以上,不全纵隔子宫终止妊娠孕周38周以上104例,37至38周21例,36至37周9例,34周至36周13例,34周以下早早产22例。结论纵隔子宫妊娠流产、早产、脐带缠绕、胎膜早破及前置胎盘等发生率明显增加,胎位异常增加导致剖宫产率均明显升高,妊娠并发症也较正常增加,排除早产等因素外,纵隔子宫不是提前终止妊娠的指征,但应加强产前检查,减少母儿不良妊娠结局。
Objective To understand the influence of mediastinum uterus on the pregnancy outcomes of mother and child. Methods A retrospective analysis was performed on 184 cases of mediastinal uterine pregnancy complicated with pregnancy in our hospital from January 2001 to January 2012. The patients were divided into complete mediastinal and incomplete mediastinal groups and 200 cases of normal uterine maternal pregnancy Control group, each group of cases on mode of delivery, complications during pregnancy and perinatal conditions were compared to explore the mediastinal uterus on the impact of pregnancy outcomes. RESULTS: 184 abortion uterus in pregnancy, 292 abortion 108 times, 46 cases of premature delivery, umbilical cord wound in 98 cases, 38 cases of premature rupture of membranes, placenta previa in 11 cases, cesarean section delivery mode in 171 cases, cesarean section rate of 92.9% Were higher than the normal control group (P <0.05), 11 cases of spontaneous birth was less than the control group; gestational weeks of pregnancy complete mediastinal uterus more than 37 to 39 weeks, 2 were more than 34 weeks of preterm birth, incomplete mediastinal uterine termination of pregnancy 104 cases were over 38 weeks, 21 cases were 37 to 38 weeks, 9 cases were 36 to 37 weeks, 13 cases were 34 weeks to 36 weeks, and 22 cases were prematurely born below 34 weeks. Conclusion The incidence of miscarriage, premature delivery, umbilical cord entrapment, premature rupture of membranes and placenta previa in mediastinum uterus increased significantly. The abnormal fetal position resulted in significantly higher rates of cesarean section, complications of pregnancy than normal, excluding premature delivery In addition, the mediastinal uterus is not an indication of early termination of pregnancy, but should strengthen the prenatal care to reduce the adverse pregnancy outcome of maternal and child.