患有骨髓扩散性瘤的妇女的分娩率
Anna Ravn Landtblom1,2, Therese M-L Andersson3, Anna L V Johansson3,4
1Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden. anna.ravn-landtblom@regionstockholm.se.
Leukemia
|March 9, 2024
概括
患有骨髓扩散性瘤 (MPN) 的妇女的分娩率有所降低,特别是那些患有多细胞血病 (PV) 或原发性骨髓纤维化 (PMF) 的妇女. 基本血小板血 (ET) 在分娩率上没有显著差异.
科学领域:
- 血液学 血液学 血液学
- 生殖健康 生殖健康
- 在瘤学瘤学.
背景情况:
- 骨髓增殖性瘤 (MPN) 与较差的妊娠结果有关.
- 关于被诊断为MPN的妇女生育能力和生育潜力的数据有限.
研究的目的:
- 调查MPN妇女的生殖模式.
- 评估这一群体中流产和死产的风险.
- 分析不同MPN亚型的分娩率.
主要方法:
- 瑞典的健康登记册被用来识别1973-2018年间15-44岁的女性,她们被诊断为MPN.
- 建立了1141名患有MPN的女性队列,并与1:4对4564名人口对照进行了匹配.
- 分析了包括分娩,流产和死产在内的生殖结果.
主要成果:
- 患有MPN的女性的分娩率明显较低 (HR 0.78).
- 基本血小板血 (HR1.02) 的分娩率没有显著降低,但在多细胞血 (PV) (HR0.50) 和原发性骨髓纤维化 (PMF) (HR0.45) 的分娩率较低.
- 诊断后流产的风险没有显著增加 (HR 1.25),尽管患有MPN的女性更有可能有先前的死产.
结论:
- 与对照组相比,MPN妇女的总分娩率较低.
- 基本血小板血似乎没有显著影响分娩率.
- 像PV和PMF这样的特定MPN亚型与明显较低的分娩率有关.
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