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目的探讨妊娠合并子宫肌瘤临床治疗及其并发症。方法选择我院收治的妊娠期合并子宫肌瘤的患者共48例作为观察组,另选同期来我院进行分娩的无子宫肌瘤孕妇48例作为对照组,对两组患者的临床资料进行回顾性的分析,比较分析两组患者子宫肌瘤与并发症发生之间的关系。结果在妊娠期观察组患者先兆早产、先兆流产、前置胎盘、肌瘤变性等并发症上发生率均高于对照组(P<0.05);在分娩期观察组患者发生宫缩乏力、产后出血、胎儿窘迫、胎盘早剥等并发症发生率均高于对照组(P<0.05)。结论妊娠合并子宫肌瘤的孕妇患者,其并发症发生情况与并发症类型都和子宫肌瘤的性质特征有着密切的关系,同时,在分娩期间应当采用单纯性剖宫产或者联合子宫肌瘤剔除术。
Objective To investigate the clinical treatment of uterine fibroids in pregnancy and its complications. Methods Forty-eight patients with uterine fibroids in our hospital were selected as the observation group. Forty-eight pregnant women without uterine fibroids who were delivered at the same period in our hospital were selected as the control group. The clinical data of the two groups were reviewed Sex analysis, comparative analysis of two groups of patients with uterine fibroids and the relationship between the occurrence of complications. Results The incidence of threatened abortion, threatened abortion, placenta previa, myoma degeneration and other complications in the observation group during pregnancy were higher than those in the control group (P <0.05). Uterine inertia, postpartum hemorrhage , Fetal distress, placental abruption and other complications were higher than the control group (P <0.05). Conclusion Pregnant women with uterine fibroids in pregnancy, the incidence of complications and the types of complications and uterine fibroids are closely related to the nature of the characteristics at the same time, during labor should be simple cesarean section or combined uterine fibroids removed Surgery.