71 cases of pregnant women with uterine myoma treatment discussed.docVIP

 PAGE \* MERGEFORMAT 5 71 cases of pregnant women with uterine myoma treatment discussed In recent years, the development of uterine fibroids at a younger age, higher incidence trends, the existence of uterine fibroids and pregnancy incidence of 0.5% while 1.0%, accounting for 0.03% of pregnancies and 1.1%, but in clinical practice, its incidence rate is higher than the above, on January 2008 to January 2010 in our hospital in the delivery of the 2132 cases of pregnant women and found 71 cases of pregnant women with uterine fibroids, are summarized below. 1 Materials and Methods 1.1 General information: 71 cases of this group of patients, aged 20 to 41 years, mean 30.5 years, 47 cases of primipara, the maternal 24. 1.2 fibroids that time: Pregnant found in 13 cases, pre-pregnancy found in 44 cases, intraoperative findings in 14 cases. 1.3 The location and types of fibroids: subserosal leiomyoma in 14 cases, 20.2%; 40 cases of intramural fibroids, accounting for 55.5%; mixed type in 9 cases, 12.3%; 6 cases of submucosal fibroids, accounting for 8.9%; Cervical fibroids in 2 cases, 3.3%; myoma diameter 11 cm, small fibroids diameter lt;0.5 cm. 1.4 Treatment: cesarean section in 71 cases of uterine fibroids, and subtotal hysterectomy in 1 case, myomectomy in 53 cases, including cervical fibroids in 2 cases, 1 case of cornual myoma, uterine fibroids 2 posterior patients, 16 pregnant women with uterine fibroids and natural labor productivity Chengshun Li. 2 Results 53 patients in this group also myomectomy during cesarean section, no 1 case of postpartum hemorrhage, puerperal infection and poor uterine involution. Cesarean section over the same period 92 patients taking the normal group, the difference was not statistically significant (Pgt; 0.05). 3 clinical management Pregnancy, late treatment, fibroids diameter lt;6 cm, asymptomatic on a regular basis and prenatal ultrasound fibroid situation, not special treatment