子宫肌瘤术后对分娩方式的影响研究  

Study on the Effect of Hysteromyoma on the Mode of Delivery

作　　者：周利锴[1] 郑文金[1] ZHOU Likai;ZHENG Wenjin.(Obstetrics and Gynecology Department,Maternal and Child Health Care Hospital of Nanning City, NanningGuangxi 530011, China)

机构地区：[1]广西南宁市妇幼保健院妇产科,广西南宁530011

出　　处：《中国继续医学教育》2018年第16期34-35,共2页China Continuing Medical Education

摘　　要：目的研究子宫肌瘤剔除术对孕妇分娩方式的影响。方法对2012年6月—2017年12月南宁市妇幼保健院收治的曾行子宫肌瘤剔除术孕妇78例(观察组)与同期正常孕妇78例(对照组)进行回顾性分析,对比两组孕妇的分娩方式,观察曾行子宫肌瘤手术孕妇的分娩方式及其妊娠结局。结果观察组剖宫产率、阴道分娩率为38.5%(30/78)和61.5%(48/78),对照组为35.9%(28/78)和64.1%(50/78),两组比较差异无统计学意义(P>0.05);观察组30例实施剖宫产手术,48例阴道顺产的孕妇,均未发生严重并发症,母儿结局良好。结论子宫肌瘤剔除术并不是孕妇选择剖宫产终止妊娠的决定因素,该类孕妇分娩方式的选择应结合肌瘤手术后妊娠的间隔时间、肌瘤的部位、大小、手术情况及分娩前相关检查决定。选择腹腔镜子宫肌瘤剔除术可减少盆腔粘连。Objective To study the effect of hysteromyoma on the mode of delivery in pregnant women. Methods From June 2016 to December 2017, the maternal and Child Health Hospital of Nanning city underwent uterine fibroids pregnant women（observation group） and normal pregnant women（control group） were retrospectively analyzed. The delivery methods of two groups of pregnant women were compared and the delivery mode and pregnancy outcome of pregnant women undergoing hysteromyoma operation were observed. Results The cesarean section rate and vaginal delivery rate in the observation group were 38.5%（30/78） and 61.5%（48/78） respectively. The control group was 35.9%（28/78） and 64.1%（50/78）, and the difference between the two groups was not statistically significant（P〉0.05）. In the observation group, 30 cases underwent cesarean section, and 48 cases of vaginal delivery women had no serious complications. Conclusion Myomectomy is not the determinant factor for pregnant women to choose cesarean delivery. The choice of delivery mode of this kind of pregnant women should be combined with the interval of pregnancy after the operation of myoma, the location and size of the myoma, the size of the operation and the related examination before delivery. Laparoscopic myomectomy can reduce pelvic adhesion.

关 键 词：子宫肌瘤术 分娩方式 剖宫产 妊娠 结局 盆腔粘连 

分 类 号：R737[医药卫生—肿瘤]