【摘要】 目的 探讨妊娠合并子宫肌瘤的并发症和剖宫产时同时行肌瘤剔除术的指征。 方法 对71例妊娠合并子宫肌瘤进行回顾性分析。 结果 妊娠合并子宫肌瘤占同期妊娠人数的2.46%，并发症发生率为38.03%。子宫肌瘤使剖宫产率提高。剖宫产术中行肌瘤剔除，未明显增加手术出血量。 结论 妊娠合并子宫肌瘤使妊娠并发症发生率明显提高，行剖宫产时应尽量同时剔除肌瘤，以免患者受二次手术的痛苦。

    关键词 妊娠 子宫肌瘤 并发症 肌瘤剔除术

    A clinical analysis of71cases of pregnancy associated with myoma of uterus

    Zhao Wei，Li Xiaotian，Gu Yu

    Obstetrics and Gynecology Hospital of Fudan University，Shanghai200011.

    【Abstract】 Objective To appraise the complications of pregnancy associated with myoma of uterus and the indication of myomectomy during caesarean section.Methods A retrospective analysis of71cases pregnancy associat-ed with myoma of uterus was carried out.Results The proportion of the cases pregnancy with myoma was2.46%of the delivery inpatients.The complication rate was38.03%.Myoma caused increasing caesarean section rate.My-omectomy during caesarean section did not increase hemorrhage.Conclusion Pregnancy associated with myoma in-creases complications of pregnancy.Myomectomy is as good and should be performed during caesarean section. ......