Królikowska Beata, Zmudzińska Ewa, Kobierski Juliusz, Makarewicz Hanna, Olszewski Jarosław
II Kliniki Połoznictwa i Chorób Kobiecych Akademii Medycznej w Gdańsku, kierownik Kliniki.
Ginekol Pol. 2002 Apr;73(4):280-3.
Myomas of uterus are the most common mild tumours of uterus. There is often observed the rapid increase of them during the pregnancy and then they could caused complications from 0.3% to 2.6% of pregnancies.
The aim of study was the general valuation of the course and delivery means of the pregnancies coexisted with myoma uteri.
We have analysed 11 pregnancies, which we observed during hospitalisation of pregnant women at 2nd Department of Obstetrics and Gynaecology at Medical University of Gdańsk.
We observed pain in abdomen during pregnancy in 63.6% of analysed group. The 6 (54.5%) pregnant women were pharmacologically treated against symptoms of miscarriages and preterm labors. We investigated in the connection of the complicated pregnancy at women with myomatous uterus. The results confirm the high risk of the pregnancy. Almost 82% of analysed group delivered at time. The frequency of caesarean sections in our study was about 36%, but 2 of them were performed because of myomas.
We made conclusion that pregnancy complicated by myomas had not significant increase in failure at the end. Myomatous uterus in pregnancy required to be quickly diagnosed and take care to prevent complications.
子宫肌瘤是子宫最常见的良性肿瘤。在孕期常观察到其迅速增大,进而可导致0.3%至2.6%的妊娠出现并发症。
本研究旨在对合并子宫肌瘤的妊娠过程及分娩方式进行综合评估。
我们分析了11例妊娠病例,这些病例是在格但斯克医科大学第二妇产科对孕妇进行住院观察期间所记录的。
在分析的病例组中,63.6%的孕妇在孕期出现腹痛。6名(54.5%)孕妇接受了针对流产和早产症状的药物治疗。我们研究了子宫肌瘤患者复杂妊娠的相关情况。结果证实该妊娠风险较高。分析病例组中近82%的孕妇按时分娩。我们研究中的剖宫产率约为36%,但其中2例是因子宫肌瘤而进行的剖宫产。
我们得出结论,合并子宫肌瘤的妊娠最终失败率无显著增加。妊娠合并子宫肌瘤需要快速诊断并注意预防并发症。