不同特征的肌壁间肌瘤对自然分娩的影响  

Effects of different characteristics of intramural myoma on spontaneous delivery

作　　者：王红梅[1] 田玉翠[1] 张春柳[1] 蒋子雯 王慧霄 张琪[1] 代荫梅[1] 

机构地区：[1]首都医科大学附属北京妇产医院妇科,北京100026

出　　处：《中国妇幼保健》2017年第22期5510-5513,共4页Maternal and Child Health Care of China

基　　金：北京市科技计划项目(Z131107002213090);北京市医院管理局临床医学发展专项经费资助(ZYLX201510)

摘　　要：目的探讨不同特征的肌壁间肌瘤对自然分娩的影响。方法选取在首都医科大学附属北京妇产医院建档并于2013年6月-2014年12月的自然分娩者964例,其中妊娠合并肌壁间肌瘤患者为肌瘤组482例,无肌瘤妊娠者为对照组482例,记录肌壁间肌瘤在孕早期B超下的主要特征、产程进展、阴道出血及新生儿出生情况。结果妊娠合并肌壁间肌瘤患者与对照组妊娠者的产程进展、估计失血量和新生儿出生情况差异均无统计学意义(均P>0.05);妊娠合并不同数目、大小和位置肌壁间的肌瘤患者与对照组妊娠者相比,其产程进展、估计失血量和新生儿出生情况差异亦无统计学意义(均P>0.05)。结论肌壁间肌瘤对自然分娩无显著影响。肌壁间肌瘤的数目、大小和位置对自然分娩亦无显著影响。Objective To explore the effects of different characteristics of intramural myoma on spontaneous delivery.Methods A total of 964 cases of spontaneous delivery who established their medical files in Beijing Obstetrics and Gynecology Hospital affiliated to Capital Medical University from June 2013 to December 2014 were selected,then they were divided into myoma group（482 pregnant women with intramural myoma） and control group（482 pregnant women without myoma）.The major characteristics of intramural myoma during early pregnancy under B-ultrasound,progress of delivery,vaginal bleeding,and neonatal conditions were recorded.Results There was no statistically significant difference in progress of delivery,estimated blood loss,and neonatal conditions between the two groups（all P〈0.05）.There was no statistically significant difference in progress of delivery,estimated blood loss,and neonatal conditions between the pregnant women in myoma group with different numbers,sizes,and locations of intramural myoma and control group（all P〈0.05）.Conclusion Intramural myoma has no significant effect on spontaneous delivery.The number,sizes,and locations of intramural myoma have no significant impact on spontaneous delivery.

关 键 词：肌壁间肌瘤 自然分娩 产程 估计失血量 新生儿情况 

分 类 号：R737.33[医药卫生—肿瘤]