Phelan J P
Department of Maternal Fetal Medicine, Pomona Valley Hospital Medical Center, California, USA.
Obstet Gynecol Clin North Am. 1995 Dec;22(4):801-5.
At this time, the growth of uterine myomas during pregnancy cannot be predicted. Major complications of pregnancy appear to be related to whether the placenta and the myoma are in contact. The location and number of myomas, especially in the lower uterine segment, increases the likelihood of cesarean birth and malpresentation. Frequent ultrasound evaluations to monitor fetal growth and presentation and the size of the myoma should be considered in pregnant women with uterine myomas. Surgical resection of myomas should be reserved for those pregnant women with symptomatic pedunculated myomas with a small stalk. In those women with a pregnancy complication owing to the myoma, resection should be considered prior to the next pregnancy.
此时，孕期子宫肌瘤的生长无法预测。妊娠的主要并发症似乎与胎盘和肌瘤是否接触有关。肌瘤的位置和数量，尤其是子宫下段的肌瘤，会增加剖宫产和胎位异常的可能性。对于患有子宫肌瘤的孕妇，应考虑频繁进行超声评估，以监测胎儿生长、胎位及肌瘤大小。肌瘤切除术应仅适用于那些有症状的带蒂小肌瘤的孕妇。对于因肌瘤而出现妊娠并发症的女性，应考虑在下次妊娠前进行肌瘤切除术。
