已婚未育妇女子宫肌瘤180例临床分析.docVIP

精品论文 参考文献 已婚未育妇女子宫肌瘤180例临床分析 黄伟娥 　　（广东省台山市妇幼保健院 529200） 　　【摘要】目的：针对已婚未育妇女子宫肌瘤患者进行临床分析，总结临床处理的最佳方式。方法：对2008年3月至2013年9月期间门诊及产科住院的180例患者子宫肌瘤的妇女进行回顾性分析。其中孕前未行肌瘤剔除术为观察组，行子宫肌瘤剔除术的为对照组Ⅰ。另外妊娠90例未患子宫肌瘤已婚妇女对照组Ⅱ。追踪其妊娠结局及分娩期情况，比较三组妊娠并发症与分娩结局。结果：观察组先兆流产、胎膜早破的发生率分别为15.6%、13.3%，均明显高于对照组Ⅰ的4.4%、3.3%，对照组Ⅱ3.3%、2.2%；观察组剖宫产率为80%，对照组Ⅰ为76.7%，对照组Ⅱ为36.7%，观察组与对照组Ⅱ比较及平均术中失血量、平均手术时间观察组与二对照组比较，差异有统计学意义P＜0.05。结论：已婚未育妇女在孕前发现子宫肌瘤严重时可导致一定的不良影响，若在发现子宫肌瘤时及时采取剔除术可大大减少不良影响。 　　【关键词】子宫肌瘤 妊娠 子宫肌瘤剔除术 剖宫产 　　【中图分类号】R737.33 【文献标识码】A 【文章编号】2095-1752（2014）13-0070-02 　　Married childless women uterus myoma, 180 cases of clinical analysis 　　Huang Weie（Maternal and Child Health Hospital of Taishan City, Guangdong Province 529200） 　　【Abstract】 Objective:For married childless women patients with uterine fibroids clinical analysis, the best way to summarize the clinical treatment.Methods:In March 2008 to September 2013 outpatient and maternity hospital during the period of 180 cases of patients with uterine fibroids women were retrospectively analyzed.The pregnancy without fibroids culling technique for the observation group, uterine fibroids eliminate intraoperative Ⅰ as control group. Another pregnancy, 90 cases of control group Ⅱ did not suffer from uterine flesh tumour married women.Tracking the pregnancy outcome and intrapartum situation, comparing three groups pregnancy complications and birth outcomes.Result:Observation group the incidence of threatened abortion, premature rupture of membranes were 15.6%, 13.3%, Ⅰ were significantly higher than the control group were 4.4%, 3.3%, control group 3.3%, 2.2%; Ⅱ Observation group cesarean delivery rate was 80%, control group Ⅰ was 76.7%, control group Ⅱ was 36.7%,Observation group compared with control group Ⅱ and the average intraoperative blood loss, average operation time observation group and the control group,difference was statistically significant Plt;0.05. Conclusion:Married childless women in pregnan