本文报道分析了81例晚期妊娠合并子宫肌瘤.发生率为同期妊娠的0.22%.妊娠并发症为69.13%,依次为腹疼、产后出血、先兆流产、胎位异常、胎膜早破及前置胎盘.分娩方式根据孕妇年龄、胎龄、肌瘤大小、部位、性质及有无产科并发症决定.结合文献本文讨论了子宫肌瘤对妊娠的影响及妊娠合并子宫肌瘤的分娩期处理. This article reports the analysis of 81 cases of late pregnancy with uterine fibroids, the incidence rate of 0.22% for the same period of pregnancy, pregnancy complications was 69.13%, followed by abdominal pain, postpartum hemorrhage, threatened abortion, fetal position abnormalities, premature rupture of membranes and pre Placenta.Method of delivery according to the age of pregnant women, gestational age, fibroid size, location, nature and the presence or absence of obstetric complications combined with the literature in this article discusses the impact of uterine fibroids on pregnancy and pregnancy with uterine fibroids during childbirth treatment.