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目的 :探讨子宫畸形及其不同种类对晚期妊娠结局的影响。方法:随机抽取2011~2014年住院分娩的孕产妇为研究对象,其中224例确诊合并子宫畸形,570例为同期正常对照,对其晚期妊娠结局进行回顾性分析。结果:子宫畸形组早产(21.43%vs 5.79%)、胎膜早破(25.89%vs 8.42%)、胎位异常(55.80%vs 6.67%)和小于胎龄儿发病率(19.20%vs 10.88%)显著高于正常对照组(P<0.05),而胎儿分娩时孕周[(37.22±2.26)周vs(39.10±4.50)周]和平均出生体重[(2 931.61±598.32)周vs(3 340.77±657.76)周]均显著低于正常对照组(P<0.05)。结论 :先天子宫畸形的晚期妊娠会增加早产、胎膜早破、胎位异常和小于胎龄儿的发病率,需加强孕期保健,避免各种围产期并发症的发生。
Objective: To investigate the effect of different types of uterine malformations on the outcome of late pregnancy. Methods: Pregnant and lying-in women were randomly selected from 2011 to 2014. Among them, 224 were diagnosed with uterine malformations and 570 were normal controls at the same period. The outcomes of late pregnancy were analyzed retrospectively. Results: Premature delivery (21.43% vs 5.79%), premature rupture of membranes (25.89% vs 8.42%), abnormal fetal position (55.80% vs 6.67%) and less gestational age (19.20% vs 10.88%) were significantly higher in uterine malformation group (37.22 ± 2.26 weeks vs 39.10 ± 4.50 weeks) and mean birth weight [(2 931.61 ± 598.32) weeks vs (340.77 ± 657.76), respectively) compared with the control group (P <0.05) ) Weeks] were significantly lower than the normal control group (P <0.05). CONCLUSION: Advanced pregnancy with congenital uterine malformation will increase the incidence of premature labor, premature rupture of membranes, abnormal fetal position and infants less than gestational age. Intensive care during pregnancy is needed to avoid various complications during perinatal period.