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目的:观察PCOS患者的妊娠结局。方法:回顾性分析比较98例PCOS单胎妊娠患者与120例正常孕妇的自然流产、妊娠期糖尿病(GDM)、妊娠期高血压疾病(PDH)、早产、胎膜早破、胎盘早剥以及新生儿情况的差异。结果:PCOS组的自然流产率为22.4%,对照组自然流产率为9.2%,两组比较有统计学差异(P<0.05);GDM的发生率PCOS组为14.5%,对照组为4.0%,PCOS组明显高于对照组(P<0.05);PDH的发生率PCOS组为15.8%,对照组为6.9%,PCOS组亦高于对照组(P<0.05)。剖宫产率PCOS组高于对照组,两组的早产、胎膜早破、胎盘早剥发生率比较无统计学差异,两组的新生儿情况比较亦无统计学差异。结论:PCOS患者的产科并发症增加,应予以重视。
Objective: To observe the pregnancy outcome in patients with PCOS. Methods: A retrospective analysis of 98 cases of PCOS singleton pregnancy and 120 normal pregnant women with spontaneous abortion, gestational diabetes mellitus (GDM), gestational hypertension (PDH), premature labor, premature rupture of membranes, placental abruption and neonatal Differences in the situation of children. Results: The spontaneous abortion rate was 22.4% in PCOS group and 9.2% in control group. The incidence of GDM was 14.5% in PCOS group and 4.0% in control group. There was significant difference between the two groups (P <0.05) The incidence of PDH in PCOS group was 15.8%, in control group was 6.9%, and in PCOS group was also higher than that in control group (P <0.05). The rate of cesarean section in PCOS group was higher than that in control group. There was no significant difference in the incidence of premature labor, premature rupture of membranes and placental abruption between the two groups. There was no significant difference in neonates between the two groups. Conclusions: The obstetric complications of PCOS patients should be emphasized.