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目的探讨不同特征的肌壁间肌瘤对自然分娩的影响。方法选取在首都医科大学附属北京妇产医院建档并于2013年6月-2014年12月的自然分娩者964例,其中妊娠合并肌壁间肌瘤患者为肌瘤组482例,无肌瘤妊娠者为对照组482例,记录肌壁间肌瘤在孕早期B超下的主要特征、产程进展、阴道出血及新生儿出生情况。结果妊娠合并肌壁间肌瘤患者与对照组妊娠者的产程进展、估计失血量和新生儿出生情况差异均无统计学意义(均P>0.05);妊娠合并不同数目、大小和位置肌壁间的肌瘤患者与对照组妊娠者相比,其产程进展、估计失血量和新生儿出生情况差异亦无统计学意义(均P>0.05)。结论肌壁间肌瘤对自然分娩无显著影响。肌壁间肌瘤的数目、大小和位置对自然分娩亦无显著影响。
Objective To investigate the different characteristics of intramural fibroids on the impact of natural childbirth. Methods A total of 964 cases of spontaneous delivery were established in Beijing Maternity Hospital Affiliated to Capital Medical University from June 2013 to December 2014. Among them, 482 cases of fibroids in myoma with pregnancy were myoma Pregnancy for the control group of 482 cases, records of intramural fibroids in the first trimester B ultrasound features, progress of labor, vaginal bleeding and neonatal birth. Results Pregnancy with intramural fibroids in pregnancy and control group of patients with labor progress, estimated blood loss and neonatal birth were no significant differences (all P> 0.05); pregnancy with different numbers, size and location of muscular wall Of the patients with fibroid compared with the control group had no significant difference in labor progress, estimated blood loss and newborn birth (P> 0.05). Conclusion Intramural fibroids have no significant effect on spontaneous labor. The number, size and location of intramural fibroids also had no significant effect on spontaneous labor.