纤维瘤和怀孕 纤维瘤和怀孕
Diana Ramasauskaite1, Nikhil Purandare2, Ivonne Diaz3
1Clinic of Obstetrics and Gynecology, Vilnius University Faculty of Medicine, Vilnius, Lithuania.
概括
子宫纤维瘤影响1.6~10.7%的怀孕,通常没有并发症. 然而,较大的或多个纤维瘤增加了诸如早产和产后出血等风险,需要谨慎管理.
科学领域:
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
背景情况:
- 子宫纤维瘤 (leiomyomas) 是常见的,影响1.6%至10.7%的怀孕.
- 虽然通常无症状,但纤维瘤可能会导致并发症,特别是当多个,大 (>5厘米),或位于下子宫段时.
研究的目的:
- 审查由子宫纤维瘤复杂的妊娠的患病率,潜在并发症和结果.
- 总结有关与子宫肌瘤相关的产科风险的当前数据.
主要方法:
- 关于研究怀孕期间子宫纤维瘤的文献综述.
- 报告产科并发症和结果的分析.
主要成果:
- 10-30%患有纤维瘤的孕妇会出现并发症.
- 常见的并发症包括红色变性 (8%),早产 (OR 1.5),表现不良 (OR 2.65),胎盘断裂 (OR 2.63),胎盘前期 (OR 2.21),剖腹产 (OR 2.60) 和产后出血 (OR 2.95).
- 大多数妇女通过阴道分娩;剖腹产是标准产科指示.
结论:
- 有子宫纤维瘤的怀孕通常是安全的,但特定的纤维瘤特征增加了并发症的风险.
- 在分娩期间剖腹产肌切除术通常不建议.
- 需要进一步进行高质量的研究,以充分阐明纤维瘤对怀孕结果的影响.
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