Division of Perinatology, Department of Obstetrics and Gynecology, Ankara, Turkey.
Department of Biology, Hacettepe University, Ankara, Turkey.
Rev Bras Ginecol Obstet. 2020 Sep;42(9):535-539. doi: 10.1055/s-0040-1713913. Epub 2020 Sep 29.
To evaluate the obstetric outcomes of singleton high-risk pregnancies with a small size uterine fibroid.
This retrospective cohort study was conducted among 172 high-risk pregnant women who were followed-up by a single surgeon between 2016 and 2019. Pregnant women with preconceptionally diagnosed small size (< 5 cm) single uterine fibroids ( = 25) were compared with pregnant women without uterine fibroids ( = 147) in terms of obstetric outcomes.
There was no statistically significant difference between the groups in terms of adverse pregnancy outcomes. The size of the fibroids was increased in 60% of the cases, and the growth percentage of the fibroids was 25% during pregnancy. Intrapartum and short-term complication was not observed in women who underwent cesarean myomectomy.
Small size uterine fibroids seem to have no adverse effect on pregnancy outcomes even in high-risk pregnancies, and cesarean myomectomy may be safely performed in properly selected cases.
评估患有小体积子宫肌瘤的单胎高危妊娠的产科结局。
本回顾性队列研究纳入了 2016 年至 2019 年间由同一位外科医生随访的 172 名高危孕妇。将孕前诊断为小体积（<5cm）单发子宫肌瘤的孕妇（n=25）与无子宫肌瘤的孕妇（n=147）进行比较，观察产科结局。
两组不良妊娠结局无统计学差异。60%的病例中肌瘤增大，怀孕期间肌瘤生长百分比为 25%。行剖宫产子宫肌瘤切除术的孕妇未发生分娩期和短期并发症。
小体积子宫肌瘤似乎不会对妊娠结局产生不良影响，即使是高危妊娠，在适当选择的情况下，行剖宫产子宫肌瘤切除术是安全的。
