摘要
目的探讨晚期妊娠合并子宫肌瘤的处理方法。方法回顾性分析128例在我院分娩的妊娠合并子宫肌瘤的临床资料。结果孕前即存在子宫肌瘤37例,22例自然分娩,15例剖宫产,手术指征为子宫肌瘤的2例;于剖宫产术中发现子宫肌瘤91例,未行肌瘤剥除术10例,原因为肌瘤生长的部位特殊。结论妊娠合并子宫肌瘤可以根据情况予阴道试产,剖宫产术中发现子宫肌瘤,应根据肌瘤的部位、可能出血量的多少及自己的临床处理能力来决定是否同时行肌瘤剥除术。
Objective To discuss the clinical treament method for terminal pregnancy combined with hysteromyoma.Method 128 cases of terminal pregnancy combined with hysteromyoma were retrospectively analyzed.Results There were 37 cases of hysteromyoma before pregnancy,22 cases of natural delivery,15 cases of uterine-incision delivery,2 cases of hysteromyoma for operation indication,91 cases of hysteromyoma during the operation of uterine-incision delivery,10 cases of myoma without stripping operation due to the special growth place for myoma.Conclusions According to the specific situation,labor through vagina may be adopted for the treatment of pregnancy combined with hysteromyoma.Once the hysteromyoma was found in the process of uterine-incision delivery,whether to choose the myoma stripping operation depended on the position of the myoma,the amount of the bleeding and the clinical ability of the doctor.
出处
《辽宁医学院学报》
CAS
2010年第5期414-415,共2页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
晚期妊娠
子宫肌瘤
terminal pregnancy
hysteromyoma
