中国实用妇科与产科杂志

中国实用妇科与产科杂志

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高龄备孕妇女常见妇科疾病及处理

  

  1. 浙江大学医学院附属妇产科医院， 浙江杭州310006
  • 出版日期:2017-01-01 发布日期:2017-01-17
  • 通讯作者: 林俊

Management of common gynecological problems in women at advanced age to get pregnant.

  1. Obstetrics and Gynecology Hospital， Zhejiang University School of Medicine， Hangzhou 310006， China
  • Online:2017-01-01 Published:2017-01-17

摘要： 目前高龄备孕， 尤其是超过40岁甚至45岁的超高龄人群备孕皆在增多， 妇产科医生面临的除高龄所带来的高危产科外， 如何最优化处理此类人群的妇科疾病同样是项巨大挑战。高龄孕妇常见妇科疾病如子宫肌瘤、 卵巢囊肿、 宫颈上皮内瘤变、 瘢痕憩室等， 临床关注的焦点在于能否妊娠、 孕前是否需手术、 手术治疗对妊娠影响以及尽少破坏生育功能的手术技巧等方面。文章结合相关文献， 对上述问题进行阐述。

关键词: 高龄, 子宫肌瘤, 卵巢囊肿, 宫颈上皮内瘤变, 瘢痕憩室

Abstract: At present， it is more common for women at advanced age to get pregnant， especially for those who are over 40 or even 45 years old.Apart from the high risk of pregnancy due to their age， these older women are also faced with certain gynecological problems，such as uterus myomas， ovarian cysts， cervical lesions，previous cesarean scar defects and so on.The frequently asked questions concentrate on whether the illness or situation allows a pregnancy， when to treat it， how to monitor it and what its influence is on the mode of delivery.This review is aimed to answer these questionson the basis of related literatures.

Key words: advanced age, uterus myomas, ovarian cysts, cervical intraepithelial neoplasias, previous cesarean scar defects

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