Clinical Analysis of Late Pregnancy Complicated with Uterine Leiomyoma
- VernacularTitle:晚期妊娠合并子宫肌瘤193例临床分析
- Author:
Xinwei SHI
;
Yuanyuan WU
;
Xun GONG
;
Fuyuan QIAO
;
Haiyi LIU
- Publication Type:Journal Article
- Keywords:
Late pregnancy;
Uterine leiomyoma;
Cesarean section;
Myomectomy
- From:
Journal of Practical Obstetrics and Gynecology
2010;26(1):40-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The treatment of late pregnancy complicated with utedne leiomyoma was investigated.Methods:193 Cases of Iate pregnancy complicated with uterine leiomyoma from January 2003 to August 2008 were recruited in our hospital.According to the delivery route,size and subtype of fibroid,blood loss,operation hours and postoperative inpatient period were compared.Results:104 cases of pregnancy complicated with uterine leiomyoma were diagnosed before cesarean section(CS).No significant differences on blood losses and operation hours were found between CS group and CS+myomectomy group(P>0.05).The operation heurs of leiomyoma in corpus uteri was significantly shorter than leiomyoma in lower uterine segment and cervix(P=0.007).Leiomyoma bigger than 8 cm needed significantly Ionger operative hours and lose more blood than the smaller leiomyoma.Operation hours,blood loss and postoperative inpatient period were significantly different between submucous leiomyoma and subserosal leiomyoma(P<0.05).Conclusions:Pregnancy complicated with uterine leiomyoma should be diagnosed as early as possible.During cesarean section on when leiomyoma is bigger than 8 cm,locating at lower uterine segment or cervix or submucous,the treatment should be cautious.
