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子宫肌瘤患者的孕期管理:一项病例研究。

Navigating Pregnancy With Uterine Fibroids: A Case Study.

作者信息

Patel Dharmesh J, Chaudhari Kamlesh, Acharya Neema, Shrivastava Deepti, Dave Apoorva, Patel Archan

机构信息

Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 18;16(7):e64793. doi: 10.7759/cureus.64793. eCollection 2024 Jul.

DOI:10.7759/cureus.64793
PMID:39156440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11330289/
Abstract

Benign uterine tumors, known as leiomyomas or uterine fibroids, can result in severe pain, bleeding, and infertility. They impact a woman's overall well-being, ability to conceive, and the course of her pregnancy. Fibroids are associated with increasing maternal age. When a patient with fibroids is considering pregnancy, ultrasonography and a detailed pelvic examination should be performed to determine the size and location of any fibroids. This case study details a 30-year-old female patient who had fibroids during her pregnancy and responded well to treatment.

摘要

良性子宫肿瘤,即平滑肌瘤或子宫肌瘤,可导致严重疼痛、出血和不孕。它们会影响女性的整体健康、受孕能力以及孕期情况。子宫肌瘤与产妇年龄增加有关。当患有子宫肌瘤的患者考虑怀孕时,应进行超声检查和详细的盆腔检查,以确定任何肌瘤的大小和位置。本案例研究详细介绍了一名30岁的女性患者,她在怀孕期间患有子宫肌瘤,且对治疗反应良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7592/11330289/e9bd620cbb9c/cureus-0016-00000064793-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7592/11330289/2b43057251eb/cureus-0016-00000064793-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7592/11330289/e9bd620cbb9c/cureus-0016-00000064793-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7592/11330289/2b43057251eb/cureus-0016-00000064793-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7592/11330289/e9bd620cbb9c/cureus-0016-00000064793-i02.jpg

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1
Navigating Pregnancy With Uterine Fibroids: A Case Study.子宫肌瘤患者的孕期管理:一项病例研究。
Cureus. 2024 Jul 18;16(7):e64793. doi: 10.7759/cureus.64793. eCollection 2024 Jul.
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Impact of subserosal and intramural uterine fibroids that do not distort the endometrial cavity on the outcome of in vitro fertilization-intracytoplasmic sperm injection.未使子宫内膜腔变形的浆膜下和肌壁间子宫肌瘤对体外受精-卵胞浆内单精子注射结局的影响
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本文引用的文献

1
Myoma and myomectomy: Poor evidence concern in pregnancy.子宫肌瘤与子宫肌瘤切除术:妊娠相关证据不足
J Obstet Gynaecol Res. 2017 Dec;43(12):1789-1804. doi: 10.1111/jog.13437. Epub 2017 Sep 11.
2
Number and size of uterine fibroids and obstetric outcomes.子宫肌瘤的数量、大小与产科结局
J Matern Fetal Neonatal Med. 2015 Mar;28(4):484-8. doi: 10.3109/14767058.2014.921675. Epub 2014 Jun 5.
3
Knowledge of, Perception of, and Attitude towards Uterine Fibroids among Women with Fibroids in Lagos, Nigeria.尼日利亚拉各斯子宫肌瘤女性对子宫肌瘤的了解、认知及态度
Scientifica (Cairo). 2014;2014:809536. doi: 10.1155/2014/809536. Epub 2014 Mar 13.
4
Comparison of pregnancy outcomes in different localizations of uterine fibroids.不同部位子宫肌瘤妊娠结局的比较。
Clin Exp Obstet Gynecol. 2012;39(4):516-8.
5
The impact and management of fibroids for fertility: an evidence-based approach.子宫肌瘤对生育的影响及处理:循证医学方法。
Obstet Gynecol Clin North Am. 2012 Dec;39(4):521-33. doi: 10.1016/j.ogc.2012.09.005.
6
Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications.子宫肌瘤的并发症及其处理、肌瘤的手术治疗、腹腔镜和宫腔镜与子宫切除术对比、出血、粘连及并发症
Obstet Gynecol Int. 2012;2012:791248. doi: 10.1155/2012/791248. Epub 2012 Apr 9.
7
Leiomyoma simultaneously impair endometrial BMP-2-mediated decidualization and anticoagulant expression through secretion of TGF-β3.平滑肌瘤通过分泌 TGF-β3 同时损害子宫内膜 BMP-2 介导的蜕膜化和抗凝表达。
J Clin Endocrinol Metab. 2011 Feb;96(2):412-21. doi: 10.1210/jc.2010-1450. Epub 2010 Nov 17.
8
Leiomyomas at routine second-trimester ultrasound examination and adverse obstetric outcomes.在常规的孕中期超声检查中发现的平滑肌瘤与不良产科结局。
Obstet Gynecol. 2010 Nov;116(5):1056-63. doi: 10.1097/AOG.0b013e3181f7496d.
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Uterine myomas during pregnancy: a longitudinal sonographic study.孕期子宫肌瘤:一项纵向超声研究。
Ultrasound Obstet Gynecol. 2011 Mar;37(3):361-5. doi: 10.1002/uog.8826. Epub 2011 Feb 10.
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The impact of uterine leiomyomas on reproductive outcomes.子宫平滑肌瘤对生殖结局的影响。
Minerva Ginecol. 2010 Jun;62(3):225-36.