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目的分析妊娠合并子宫肌瘤的临床诊断与治疗,探讨最佳处理方法。方法回顾性分析收治的36例妊娠合并子宫肌瘤患者的临床资料,分析其临床诊断与治疗效果。结果本组36例妊娠合并子宫肌瘤经B超诊断、采取相应治疗后,顺利娩出胎儿33例,无产后出血、产褥感染、子宫复旧不良;子宫肌瘤剔除术顺利,切除肌瘤送病理检查,符合临床诊断,其中4例红色变性,无恶性病变,36例均治愈后出院。结论 B型超声检查是妊娠合并子宫肌瘤的首选诊断方法,治疗方法应综合考虑临床症状、妊娠月份、B超检查肌瘤大小、合并其他疾病等,可得到有效及时的处理。
Objective To analyze the clinical diagnosis and treatment of uterine fibroids in pregnancy and discuss the best treatment method. Methods Retrospective analysis of 36 cases of pregnant women with uterine fibroids clinical data, analysis of its clinical diagnosis and treatment. Results The group of 36 cases of pregnancy complicated with uterine fibroids by B-ultrasound diagnosis, take the appropriate treatment, the successful delivery of the fetus in 33 cases, postpartum hemorrhage, puerperal infection, uterine involution and poor; myomectomy successful removal of fibroids sent pathology Check, in line with clinical diagnosis, of which 4 cases of red degeneration, no malignant lesions, 36 cases were cured and discharged. Conclusion B-mode ultrasonography is the first choice for the diagnosis of uterine fibroids in pregnancy. The treatment should be based on the clinical symptoms, the month of pregnancy, the size of B-fibroids, and the combination of other diseases, which can be effectively and promptly treated.