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目的探讨妊娠合并子宫肌瘤的分娩方式及妊娠结局,以期为临床采取有效的防治措施提供依据。方法选取2006年2月-2016年2月在该院分娩的妊娠合并子宫肌瘤产妇120例为观察组,另选取同期非子宫肌瘤产妇120例为对照组。根据产妇体征由医生采取合适的分娩方式,对比分析两组妊娠结局的差异。结果观察组产妇剖宫产率、妊娠并发症发生率、产褥感染率、产后出血发生率均明显高于对照组,差异均有统计学意义(P<0.05)。观察组新生儿窒息发生率及宫内窘迫发生率明显高于对照组,且新生儿Apgar评分低于对照组,差异均有统计学意义(P<0.05)。结论妊娠合并子宫肌瘤增加了剖宫产的发生率,且对孕妇及新生儿存在明显不良影响,临床上应采取有效的防治措施。
Objective To investigate the mode of delivery and pregnancy outcome of pregnant women with uterine fibroids in order to provide evidence for effective prevention and treatment measures in clinical practice. Methods A total of 120 pregnant women with uterine fibroids who were delivered in our hospital from February 2006 to February 2016 were selected as the observation group. Another 120 women with non-uterine fibroids during the same period were selected as the control group. According to maternal signs by the doctor to take the appropriate mode of delivery, comparative analysis of the difference between the two groups of pregnancy outcomes. Results The rate of cesarean section, the incidence of pregnancy complications, the rate of puerperal infection and the incidence of postpartum hemorrhage in the observation group were significantly higher than those in the control group (P <0.05). The incidence of neonatal asphyxia and intrauterine distress in the observation group was significantly higher than that in the control group, and the Apgar score in neonates was lower than that in the control group (P <0.05). Conclusion Pregnancy complicated with uterine fibroids increased the incidence of cesarean section, and pregnant women and newborns have obvious adverse effects, should take effective clinical control measures.