Number and size of uterine fibroids and obstetric outcomes

Number and size of uterine fibroids and obstetric outcomes
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DOI:
10.3109/14767058.2014.921675
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发表时间:
2015-03-01
影响因子:
1.8
通讯作者:
Tranquilli, Andrea Luigi
Tranquilli, Andrea Luigi
中科院分区:
医学4区
文献类型:
--
作者:
Ciavattini, Andrea;Clemente, Nicolo;Tranquilli, Andrea Luigi

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目的:估计超声检查发现的多发性或大(直径>= 5厘米)子宫肌瘤对产科结局的影响。方法:对219名患有子宫肌瘤的女性(在3年内的常规妊娠中期超声调查中发现)进行回顾性队列研究,2010-2012年)及其年龄匹配的对照组。纳入标准为单胎妊娠、妊娠24周以上分娩、无病理状况(慢性高血压、妊娠期糖尿病或既往存在的糖尿病、子宫畸形或胎儿畸形)。结果:与无肌瘤的妇女相比,多发性肌瘤妇女(n = 34)的早产率显著增高(29.4%对5%,P < 0.05)。
Objective: Estimating the impact of sonographically identified multiple or large (>= 5 cm in diameter) fibroids on obstetric outcomes.Methods: Retrospective cohort study of 219 women with uterine fibroids (identified on a routine second-trimester ultrasound survey over a 3-year period, 2010-2012) and their age-matched controls. Inclusion criteria were singleton pregnancy, delivery at >24 weeks of gestation and no pathological conditions (chronic hypertension, gestational diabetes or pre-existing diabetes mellitus, uterine anomalies or fetal malformations).Results: Compared to women with no fibroids, women with multiple fibroids (n = 34) had a significantly higher rate of preterm birth (29.4% versus 5%, p