Bosev D, Dimitrov A
Akush Ginekol (Sofiia). 2007;46(5):3-6.
The purpose of this study is to follow up the changes in the myoma dimentions during pregnancy (1st, 2nd and 3rd trimester). The study is prospective and includes 90 pregnant women with myoma during the period 2002-2006. If more than one myoma was diagnosed, the largest one was considered to be representative. Our data show that the combination of myoma and pregnancy is more frequent with women over the age of 30 and it is more frequent with nullipares (63.2%). Single myomas were more frequent with 58%, 48% of the myomas were intramural and 62% were located in the uterine corpus. Our study shows that during the first trimester there is no change in the myomas dimentions in 35%-43% of the cases and during the second trimester there is no change of the myona dimentions in 50% of the cases. During the third trimester there are only 5% of the myomas that change their dimentions. We conclude, that the myomas, that enlarge during the first trimester, usually enlarge during the second trimester as well. We found no decrease of the myoma dimentions during the third trimester.
本研究的目的是追踪子宫肌瘤在孕期(孕早期、孕中期和孕晚期)的大小变化。该研究为前瞻性研究,纳入了2002年至2006年期间90例患有子宫肌瘤的孕妇。如果诊断出多个肌瘤,则将最大的肌瘤视为具有代表性。我们的数据显示,肌瘤与妊娠并存的情况在30岁以上女性中更为常见,在初产妇中更为常见(63.2%)。单个肌瘤更为常见,占58%,48%的肌瘤为肌壁间肌瘤,62%位于子宫体部。我们的研究表明,在孕早期,35% - 43%的病例中肌瘤大小无变化;在孕中期,50%的病例中肌瘤大小无变化。在孕晚期,只有5%的肌瘤会改变大小。我们得出结论,在孕早期增大的肌瘤通常在孕中期也会增大。我们发现在孕晚期肌瘤大小没有减小。