妊娠合并子宫畸形对围产结局的影响  

The effect of abnormal uterus on the perinatal outcomes

作　　者：牟献忠[1] 张俊农[1] 

机构地区：[1]天津医科大学第二医院产科,天津300211

出　　处：《天津医科大学学报》2009年第2期266-267,287,共3页Journal of Tianjin Medical University

摘　　要：目的:探讨子宫畸形对围产结局的影响。方法:对6 177例住院分娩产妇进行回顾性分析,探讨其中33例(0.53%)妊娠合并子宫畸形者的分娩处理原则和围产结局。结果:妊娠合并子宫畸形孕妇的胎位异常、胎膜早破、早产的发生率(分别为42.42%、39.39%、42.42%)以及剖宫产率(90.91%)均显著高于正常子宫妊娠者(均P<0.01)。结论:妊娠合并子宫畸形为妊娠高危因素,应适当放宽剖宫产术指征以减少对母婴的不利影响,提高围产质量。Objective： To study the effect of abnormal uterus on the perinatal outcomes. Methods： 6177 laboring women in-hospital from Jan 1995 to Dec 2005 were enter this study. 33 patients with uterus abnormality were involved to study the clinical management and the prognosis. Results： Compared with the normal controls, women with abnormal uterus had higher incidences in fetal position abnormality, premature delivery, premature rupture of membranes （42.42% ,39.39% ,42.42%） and cesarean section （90.91%） （all P〈0.01）.Conclusion： Uterus abnormality is a high risk factor for pregnancy. We should increase the signs of cesarean section appropriately in order to reduce the harmful influences and improve maternal and neonatal outcomes.

关 键 词：子宫畸形 剖宫产术 围产结局 

分 类 号：R711.1[医药卫生—妇产科学] R714[医药卫生—临床医学]