袖状胃切除术后妊娠的母婴结局分析  

Maternal and neonatal outcomes of pregnancy after sleeve gastrectomy

作　　者：郝文静 伍绍文[1] Hao Wenjing;Wu Shaowen(Obstetrics Department of Beijing Maternal and Child Health Care Hospital,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院,北京妇幼保健院产科,北京100026

出　　处：《中华医学杂志》2025年第10期773-776,共4页National Medical Journal of China

基　　金：北京市市属医院科研培育计划(PX2024051)。

摘　　要：为分析袖状胃切除术(SG)后合并妊娠的母婴结局,回顾性收集2018年1月至2024年4月在首都医科大学附属北京妇产医院产科规律产检并分娩的20例SG后妊娠孕妇的临床资料,观察孕期增重、孕期合并症、并发症及母婴结局。20例SG后孕妇年龄(33.9±3.5)岁,SG与妊娠的间隔时间[M(Q1,Q3)]为28(20,57)个月,孕前超重及肥胖者12例(60.0%),孕期增重(10.1±5.4)kg。合并妊娠期高血糖8例(40.0%),妊娠期高血压疾病7例(35.0%),妊娠期贫血12例(60.0%),血脂异常7例(35.0%)。新生儿21名,体重为(3003.6±559.7)g。新生儿中小于胎龄儿5名,无巨大儿及大于胎龄儿。剖宫产10例(50.0%),阴道分娩10例(50.0%),产后出血2例(10.0%)。无孕产妇及新生儿死亡。SG后妊娠属于高危妊娠,应加强孕前保健与指导,孕后需要密切关注血糖、血压、血脂等妊娠代谢性疾病相关指标及孕期增重情况,以保障母婴安全。To analyze the maternal and neonatal outcomes of pregnancy after sleeve gastrectomy(SG),the clinical data of 20 pregnant women who had pregnancy after SG and received regular prenatal examinations and delivered in the obstetrics department of Beijing Obstetrics and Gynecology Hospital,Capital Medical University from January 2018 to April 2024 were retrospectively collected.The weight gain during pregnancy,pregnancy complications,comorbidities and maternal and neonatal outcomes were observed.The age of the 20 pregnant women after SG was(33.9±3.5)years,the interval[M(Q1,Q3)]between SG and pregnancy was 28(20,57)months,12 cases(60.0%)were overweight or obese before pregnancy,and the weight gain during pregnancy was(10.1±5.4)kg.There were 8 cases(40.0%)with hyperglycemia during pregnancy,7 cases(35.0%)with hypertensive disorders of pregnancy,12 cases(60.0%)with anemia during pregnancy,and 7 cases(35.0%)with dyslipidemia.There were 21 newborns with the birth weight of(3003.6±559.7)g.Among the newborns,there were 5 small for gestational age infants,and there were no macrosomia or large for gestational age infants.There were 10 cases(50.0%)of cesarean section,10 cases(50.0%)of vaginal delivery,and 2 cases(10.0%)of postpartum hemorrhage.There were no deaths among the pregnant women or the newborns.Pregnancy after SG belongs to high‑risk pregnancy.Pre‑pregnancy health care and guidance should be strengthened,and after pregnancy,close attention should be paid to the related indicators of pregnancy metabolic diseases such as blood glucose,blood pressure and blood lipids as well as the weight gain during pregnancy to ensure the safety of mothers and infants.

关 键 词：妊娠 袖状胃切除术 妊娠结局 

分 类 号：R71[医药卫生—妇产科学]