Clinical Analysis of Pregnancy Complicated with Uterine Myoma in Caesarian Operation

Abstract

Objective To investigate the treatment of third trimester pregnancy complicated with uterine myoma. Methods 68 cases of third trimester pregnancy complicated with uterine myoma were livided into groups according to the size and subtype of myoma. Blood loss, operation hours and postoperative inpatient period were compared. Results 37 cases of pregnancy complicated with uterine myoma were diagnosed before caesarian operation no significant differences on blood losses and operation hours were found between caesarian operation group and myoma caesarian operation group( P ＞ 0. 05 ). The operation hours of myoma in corpus uterine was significantly shorter than myoma in lower uterine segment and cervix (P ＜0. 05) ;Myoma( ＞8 cm) needed significantly longer operative hours and lose more blood than the myoma( ≤8 cm). Operation hours,blood lose and postoperative inpatient period were significantly different between submucous myoma and subserous myoma ( P ＜ 0. 05 ). Conclusion Pregnancy complicated with uterine myoma should be diagnosed as early as possible. During caesarian operation on when myoma was bigger than 8 cm, Locating at lower uterine segment or cervix or submucous, the treatment should be cautious. Key words: Pregnancy; Uterine myoma; Caesarian operation