论文部分内容阅读
目的分析足月妊娠合并子宫肌瘤产妇及新生儿的分娩结局。方法选择2006年5月—2014年11月做检查的孕妇206例,其中合并子宫肌瘤的孕妇77例作为肌瘤组,正常妊娠未合并肌瘤孕妇129例为对照组。回顾性分析两组的分娩结局。产妇方面:分娩方式、先兆流产、胎膜早破、胎位异常情况;新生儿:宫内窘迫、早产及窒息发生情况。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果肌瘤组剖宫产率为61.04%,均显著高于对照组的8.53%,两组比较差异有统计学意义(P<0.05)。肌瘤组自然分娩率、阴道助产率分别为16.88%、16.88%,均显著低于对照组的60.47%、31.01%,两组比较差异均有统计学意义(均P<0.05)。肌瘤组先兆流产、胎膜早破、胎位异常发生率分别为22.08%、14.29%、19.49%,均显著高于对照组的3.88%、3.10%、4.65%,两组比较差异均有统计学意义(均P<0.05)。肌瘤组新生儿宫内窘迫、早产、窒息发生率分别为16.88%、28.57%、10.38%,均显著高于对照组的3.10%、4.65%、0.78%,两组比较差异均有统计学意义(均P<0.05)。结论足月妊娠合并子宫肌瘤孕妇剖宫产率、先兆流产、胎膜早破、胎位异常发生率及新生儿宫内窘迫、早产及窒息发生率升高,提示临床分娩时对合并子宫肌瘤孕妇要多方面考虑,以降低并发症发生率。
Objective To analyze the delivery outcomes of full-term pregnant women with combined uterine fibroids and newborns. Methods A total of 206 pregnant women were examined in our hospital from May 2006 to November 2014. Totally 77 pregnant women with uterine fibroids were treated as myoma group, and 129 pregnant women without normal fibroids were selected as control group. Retrospective analysis of the two groups of delivery outcomes. Maternal aspects: mode of delivery, threatened abortion, premature rupture of membranes, fetal abnormalities; neonatal: intrauterine distress, premature birth and asphyxia situation. Count data using χ2 test, P <0.05 for the difference was statistically significant. Results The rate of cesarean section in fibroids group was 61.04%, which was significantly higher than that in control group (8.53%). There was significant difference between the two groups (P <0.05). The rates of spontaneous delivery and vaginal delivery in myoma group were 16.88% and 16.88%, respectively, which were significantly lower than those in control group (60.47% and 31.01% respectively). There was significant difference between the two groups (all P <0.05). The incidence of threatened abortion, premature rupture of membranes and abnormal fetal position in fibroid group were respectively 22.08%, 14.29% and 19.49%, which were significantly higher than 3.88%, 3.10% and 4.65% of the control group, respectively Significance (all P <0.05). The incidence of neonatal intrauterine distress, premature birth and asphyxia in fibroid group were 16.88%, 28.57% and 10.38%, respectively, which were significantly higher than those in control group (3.10%, 4.65% and 0.78%, respectively) (All P <0.05). Conclusion Cesarean section rate, threatened abortion, premature rupture of membranes, abnormal fetal position and neonatal intrauterine distress in full-term pregnancy with uterine fibroids, the incidence of premature birth and asphyxia increased, suggesting that clinical maternity with uterine fibroids Pregnant women should be considered in many ways to reduce the incidence of complications.