摘要
目的探讨妊娠合并子宫肌瘤的临床处理及妊娠晚期分娩方式的选择。方法对我院2008年2月～2011年12月201例晚期妊娠合并子宫肌瘤患者的临床资料进行分析,按肌瘤特点分组,比较各组的术中出血量、手术时间、术后住院时间。结果黏膜下肌瘤组的手术时间、术中出血量、术后住院时间与浆膜下肌瘤组比较,差异有统计学意义;宫体肌瘤组比宫颈部肌瘤组手术时间明显缩短;单纯剖宫产组与剖宫产加肌瘤剔除组的手术时间、术中出血量和术后住院时间比较无差异。结论医护人员应特别注意孕妇是否存在子宫肌瘤。对于已经诊断为妊娠合并子宫肌瘤的患者,应结合患者年龄、生育需求、肌瘤的具体大小、类型、位置等综合分析,给出恰当的手术方案,将肌瘤对母婴的影响降至最低。直径≥8 cm的肌瘤及黏膜下肌瘤的处理应特别谨慎。
Objective To discuss the clinical treatment of pregnancy complicated with uterine myoma and childbirth way choice of pregnancy. Methods February 2008 to December 2011, clinical data of 201 cases with late pregnancy complicat- ed with uterine myoma were analysed. According to the characteristics of the subgroups, all patients were arranged into dif- ferent groups. Patients fibroids, intraoperative bleeding, operation time, postoperative hospital stay were compared. Results The operation time, intraoperative bleeding volume, postoperative hospital stay of submucous myoma group was longer than subserous myoma group; operation time of palace was shorter than myoma group; there were no differences between two groups with simplex cesarean section, cesarean section plus, operation time, intraoperative bleeding and postoperative hos- pital stay. Conclusion Medical staff should pay special attention to the presence myoma of uterus in pregnant women. The diagnosis of pregnancy complicated with uterine myoma patients, should be combined with patient age, childbearing de- mand, fibroid specific size, type, location, comprehensive analysis, given the appropriate operation scheme, will be to mini- mize the impact of fibroids on mother and infant. Diameter of 〉8 cm myoma and submucous myoma treatment should be particularly cautious.
出处
《中国现代医生》
2012年第16期80-81,91,共3页
China Modern Doctor
关键词
晚期妊娠
子宫肌瘤
剖宫产
Late pregnancy
Uterine leiomyoma
Cesarean section
