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孕期子宫肌瘤的现代管理

Contemporary management of fibroids in pregnancy.

作者信息

Lee Hee Joong, Norwitz Errol R, Shaw Julia

出版信息

Rev Obstet Gynecol. 2010 Winter;3(1):20-7.

Abstract

Uterine fibroids are a very common finding in women of reproductive age. The majority of fibroids do not change their size during pregnancy, but one-third may grow in the first trimester. Although the data are conflicting and most women with fibroids have uneventful pregnancies, the weight of evidence in the literature suggests that uterine fibroids are associated with an increased rate of spontaneous miscarriage, preterm labor, placenta abruption, malpresentation, labor dystocia, cesarean delivery, and postpartum hemorrhage.

摘要

子宫肌瘤在育龄女性中是一种非常常见的病症。大多数肌瘤在孕期大小不变,但三分之一的肌瘤可能在孕早期生长。尽管数据存在矛盾,且大多数患有肌瘤的女性妊娠过程顺利,但文献中的证据表明,子宫肌瘤与自然流产、早产、胎盘早剥、胎位异常、产程难产、剖宫产及产后出血的发生率增加有关。

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Large uterine leiomyomata and risk of cesarean delivery.巨大子宫平滑肌瘤与剖宫产风险
Obstet Gynecol. 2007 Feb;109(2 Pt 1):410-4. doi: 10.1097/01.AOG.0000250470.78700.f0.
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Effects of the position of fibroids on fertility.子宫肌瘤位置对生育能力的影响。
Gynecol Endocrinol. 2006 Feb;22(2):106-9. doi: 10.1080/09513590600604673.

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