【摘要】 本文综合分析4所医院妊娠合并子宫肌瘤333例,发生率为同期妊娠的0.34％,与文献报道相符。妊娠并发症为同期妊娠的62.16％,较文献报道为高。当肌瘤较大时,妊娠合并症发生率增高,成为妊娠及分娩的高危因素。妊娠期肌瘤的处理:①孕早、中期原则上不做肌瘤剜除术,以防流产与早产。②剖宫产时应视肌瘤大小及位置而定,如浆膜下肌瘤,肌壁间肌瘤直径≤3cm可同时行肌瘤剜除术,而较大的肌壁间肌瘤易造成大出血,不易同时处理。总之应根据症状、肌瘤种类、大小及位置综合判断。更多还原

【Abstract】 The paper jointly reported 333 cases of pregnancy complicated with uterine leiomyoma in 4 hospitals.The condition accounted for 0.34% of all the pregnancies,which is in accordance with other reports.Large tumours may be considered the high risk factors as they caused more complications.In principle,myomectomy should be avoided in the first and second trimester for fear of abortion or preterm delivery.During the cesarean section,handling of the tumour depended on its size and location.For instance,myomectomy may be performed at the cesarean section whether the tumour was subserous or interstitial but was smaller than 3cm,wheareas operation for larger interstitial myoma should be delayed to avoid massive bleeding.In management of this condition,several factors such as symptoms,type,size,and location should be considered更多还原