目的探讨晚期妊娠合并子宫肌瘤分娩方式的选择。方法选取我院2006年1月至2010年4月在剖宫产术中作子宫肌瘤剔除的72例患者为A组与同期妊娠合并子宫肌瘤患者单纯行剖宫产术36例为B组,阴道分娩30例为C组,观察其三组术中或分娩过程中平均失血量、术后或产后24h出血量、产褥病率、产后出血率、术后或产后住院天数、新生儿窒息率等。结果妊娠合并子宫肌瘤患者C组在分娩时失血量比A、B组术中失血量少,C组产后住院天数比A、B组术后住院天数少,差异均有统计学意义(P<0.05);A、B组术中失血量及术后住院天数比较,差异均无统计学意义(P>0.05);术后24h出血量、产后出血率、术后产褥病率以及新生儿窒息率三组比较差异无统计学意义。结论妊娠合并子宫肌瘤如估计能自然分娩,仍应阴道分娩,但剖宫产指征宜适当放宽,剖宫产术中剔除子宫肌瘤是可行的。 Objective To explore the choice of delivery mode of uterine fibroids in late pregnancy. Methods Selected from January 2006 to April 2010 in our hospital for cesarean section in 72 cases of uterine fibroids removed for the A group with the same period of pregnancy with uterine fibroids simple cesarean section in 36 cases of group B , 30 cases of vaginal delivery group C, observation of the three groups intraoperative or during delivery average blood loss, postoperative or postpartum 24h bleeding, the rate of puerperal, postpartum hemorrhage, postoperative or postpartum hospital days, neonatal asphyxia Rate and so on. Results The blood loss of labor in patients with pregnancy complicated with uterine fibroids was less than that of patients in groups A and B, the days of postpartum hospital stay in group C were less than those in groups A and B, the differences were statistically significant (P < 0.05). There was no significant difference in blood loss between the two groups (P> 0.05), blood loss after operation, postpartum hemorrhage rate, puerperal morbidity and neonatal asphyxia No significant difference between the three groups was statistically significant. Conclusion Pregnancy with uterine fibroids, if it is estimated that natural childbirth, vaginal delivery should still be, but appropriate cesarean indications should be relaxed, cesarean section in the removal of uterine fibroids is feasible.