本文選題：子宮肌瘤 + 雙胎��； 參考：《首都醫(yī)科大學(xué)學(xué)報(bào)》2015年04期

【摘要】：目的前瞻性評(píng)估子宮肌瘤對(duì)雙胎胎兒生長(zhǎng)發(fā)育及新生兒結(jié)局的影響。方法選取在首都醫(yī)科大學(xué)附屬北京婦產(chǎn)醫(yī)院建檔并于2013年6月至2014年12月分娩的雙胎妊娠合并子宮肌瘤患者共46例作為研究組,以及雙胎妊娠無(wú)肌瘤者63例作為對(duì)照組,觀察并記錄其孕早期、中期、晚期B超監(jiān)測(cè)胎兒生長(zhǎng)發(fā)育指標(biāo)、新生兒出生情況及妊娠結(jié)局。結(jié)果與對(duì)照組相比,雙胎妊娠合并子宮肌瘤患者的年齡〔(35.04±4.24)歲vs(31.67±3.56)歲,P=0.000〕和孕前體質(zhì)量指數(shù)〔(21.46±3.69)kg/m2vs(20.77±2.38)kg/m2,P=0.009〕明顯增加,且在11~14周B超的羊水最大暗區(qū)垂直深度明顯降低〔(3.14±0.55)cm vs(3.38±0.55)cm,P=0.001)〕,差異具有統(tǒng)計(jì)學(xué)意義。然而,其他孕早、中、晚期的生長(zhǎng)發(fā)育指標(biāo)、新生兒出生情況及妊娠結(jié)局差異均無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論子宮肌瘤對(duì)雙胎胎兒生長(zhǎng)發(fā)育及新生兒結(jié)局的影響并不明顯。但考慮到雙胎妊娠本身是妊娠的一項(xiàng)高危因素,對(duì)雙胎妊娠合并子宮肌瘤患者,更應(yīng)加強(qiáng)對(duì)其進(jìn)行密切的監(jiān)護(hù)和管理,從而使母、兒得到更合理、更安全的治療。
[Abstract]:Objective to prospectively evaluate the effect of uterine leiomyoma on the growth and development of twin fetus and neonatal outcome. Methods A total of 46 cases of twin pregnancy complicated with uterine leiomyoma were selected from Beijing Maternity Hospital affiliated to Capital Medical University from June 2013 to December 2014 as study group and 63 cases of twin pregnancy without leiomyoma as control group. To observe and record the early, middle and late stage of pregnancy, to monitor fetal growth and development, newborn birth and pregnancy outcome. Results compared with the control group, the age (35.04 鹵4.24) years and the pregestational mass index (21.46 鹵3.69) kg/m2vs (20.77 鹵2.38) kg / m ~ (2) P ~ (2 +) P ~ (0. 009) of twin pregnancy with uterine leiomyoma were significantly increased, and the vertical depth of the maximum dark area of amniotic fluid was significantly decreased (3.14 鹵0.55) cm vs (3.38 鹵0.55) cm ~ (-1),) at 1114 weeks. The difference is statistically significant. However, there were no significant differences in growth and development indexes, birth status and pregnancy outcome of other early, middle and late pregnancy. Conclusion the effect of uterine leiomyoma on the growth and development of twin fetus and neonatal outcome is not obvious. But considering that twin pregnancy itself is a high risk factor of pregnancy, it is necessary to strengthen the close monitoring and management of twin pregnancy complicated with uterine leiomyoma, so that the mother and the baby can get more reasonable and safe treatment.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京婦產(chǎn)醫(yī)院婦科;
【基金】：北京市科技計(jì)劃項(xiàng)目(Z131107002213090) 北京市醫(yī)院管理局臨床醫(yī)學(xué)發(fā)展專(zhuān)項(xiàng)(ZYLX201510)~~
【分類(lèi)號(hào)】：R737.33;R714

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 盧智泉;翟淑娜;李巖;姜騰軒;;中老年女性腰圍、腰臀比及高血壓與子宮肌瘤關(guān)系[J];北京醫(yī)學(xué);2014年01期

2 孫，

本文編號(hào)：2058079