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目的探讨子宫肌瘤合并妊娠分娩方式的不同选择以及分娩过程的观察处理。方法回顾性分析42例子宫肌瘤合并妊娠分娩方式的选择及分娩的观察处理。结果该组42例占同期妊娠的1.92%,均为单胎,子宫肌瘤小于6cm者37例,大于6cm者5例,多发者6例。有并发症行剖宫产19例,在产程中出现并发症行剖宫产15例,自然分娩8例。结论子宫肌瘤合并妊娠明显增加了妊娠、临产、分娩期并发症发生的可能性,增加了剖宫产率,严密观察产程早期发现并发症,可选择最佳的分娩方式。
Objective To explore the different options of pregnancy and delivery of uterine fibroids and the observation and treatment of labor process. Methods A retrospective analysis of 42 cases of uterine fibroids combined with pregnancy delivery mode of choice and observation of childbirth treatment. Results The group of 42 cases accounted for 1.92% of the same period of pregnancy, were singleton, uterine fibroids less than 6cm in 37 cases, more than 6cm in 5 cases, multiple in 6 cases. There were complications of cesarean section in 19 cases, complications occurred in the delivery line 15 cases of cesarean section, natural childbirth in 8 cases. Conclusions Uterine fibroids merge pregnancy significantly increased the possibility of pregnancy, labor and childbirth complications, increased cesarean section rate, closely observe the early detection of labor complications, choose the best mode of delivery.