中国实用妇科与产科杂志

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围生期子宫肌瘤治疗策略

阮焱,范玲   

  1. 作者单位:首都医科大学附属北京妇产医院产科, 北京100026
  • 出版日期:2012-12-02 发布日期:2012-11-19
  • 通讯作者: 范玲

  • Online:2012-12-02 Published:2012-11-19

摘要:

子宫肌瘤可对妊娠前、妊娠各期、分娩及产褥期造成一系列不利影响。如何提供孕前咨询、正确医疗指导和选择适宜治疗方案,是产科医生必须面临的问题。对于直径<5 cm的肌瘤,在围生期若无并发症均无需处理;有产科指征者可行剖宫产术,术中行子宫肌瘤剔除术是安全可行的。妊娠合并子宫肌瘤属高危妊娠,需加强监护,出现并发症应及时处理。

关键词: 妊娠, 子宫肌瘤, 子宫肌瘤剔除术

Abstract:

Uterine myoma in pregnancy is common in clinical obstetric practice.The complications that can arise during pregnancy and their antenatal management,the labour pattern,mode of delivery and the postpartum course . How to provide prepregnancy counseling,proper medical guidance and appropriate treatment.The topic is becoming more relevant in contemporary obstetrics. Asymptomatic fibroids <5cm do not need any specific intervention before and during pregnancy. Caesarean section is advised for obstetric indications. Caesarean myomectomy seems to be safe in carefully selected patients. Fibroid in pregnancy is highrisk pregnancy,needs carefully monitoring.Any complication (especially red degeneration) during pregnancy should be managed immediately.

Key words: pregnancy, uterine myoma, uterine myomectomy

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