论文部分内容阅读
作者对38例于妊娠期合并肌瘤的患者施肌瘤剜除术。年龄25～34岁占71%,12～19孕周占71.1%,术前主诉先兆流产25例,肿块增大10例,无症状者1例,其他1例。结果34例是足月产,1例早产,均为活胎;3例流产。足月产的34例中,阴道分娩与剖宫产各半。本组流产的3例手术时间均在1.5小时以上,肌瘤均在子宫底部。而流产例与肌瘤大小、数目、胎盘关系无明显相关。妊娠期施子宫肌瘤剜除术于1986年由Shroder 首先施行.Kermer 报告剜除术时如达宫腔露出卵膜,修补后仍可继续妊娠成功。以后曾为Mager、Stoeekel 三谷、佐伯、岩田、小岛小林、汤泽追试成功。
The authors of 38 cases of patients with fibroids during pregnancy leiomyomactomy. Age 25 to 34 accounted for 71%, 12 to 19 gestational weeks accounted for 71.1%, preoperative complained of threatened abortion in 25 cases, lumps increased in 10 cases, asymptomatic in 1 case, the other 1 case. Results 34 cases were full-term, 1 case of premature birth, all live births; 3 cases of abortion. 34 cases of full-term, vaginal delivery and cesarean section in half. The abortion in 3 cases of operation time in more than 1.5 hours, fibroids are in the bottom of the uterus. The abortion cases and fibroids size, number, placental relationship was not significantly correlated. Shy uterine myomectomy during pregnancy was first performed by Shroder in 1986. Kermer reported that he was able to continue with successful pregnancies after erection, even when the uterine cavity was uncovered during the procedure. After Mager, Stoeekel Mitani, Saeki, Iwata, Kojima Kobayashi, Yuzawa successful pursuit.