妊娠合并不同类型子宫腺肌病对母儿结局的影响

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Abstract Objective To explore the influence of pregnancy complicated with different types of adenomyosis on the outcome of mothers and babies.Methods Ninety-four cases of pregnancy complicated with diffuse adenomyosis in Daxing District People's Hospital of Beijing from May 2012 to April 2022 were retrospectively analyzed as observation group A, 91 cases of pregnancy complicated with focal adenomyosis as observation group B, and 740 cases of delivery with the same delivery date but without adenomyosis as control group. The general data and adverse maternal and infant outcomes of the three groups were compared.Results Compared with the general baseline data of the observation group A and B, there was no statistical difference in age, BMI, pregnancy and childbirth. Compared with the control group, the incidence of preeclampsia, premature rupture of membranes, premature delivery and low birth weight infants in observation group A increased (respectively 21.3% vs. 4.5%, P<0.001; 6.4% vs. 1.6%,P=0.003; 25.5% vs. 3.9%,P<0.001; 6.4% vs. 1.2%, P<0.001), while observation group B did not increase the corresponding incidence (4.4%, P=0.978; 2.2%,P=0.687; 4.4%,P=0.826; 2.2%、0.9%,P=0.439). Compared with the control group, the postpartum hemorrhage rate, refractory postpartum hemorrhage rate, blood transfusion rate and ICU occupancy rate in observation group A and group B were significantly higher (39.4%,39.6% vs. 0.8%, P<0.001; 7.4%,4.4% vs. 0.1%,P<0.001; 7.4%,4.4% vs. 0.4%,P<0.001; 7.4%,4.4% vs. 0.5%,P<0.001);and there was no statistical difference between Group A and Group B.Conclusions Preeclampsia, preterm premature rupture of membranes, premature delivery and low birth weight infants in pregnancy complicated with adenomyosis obviously increase the risk, especially diffuse adenomyosis, but focal adenomyosis does not increase the above risk. However, whether it is diffuse or focal adenomyosis, it is easy to cause intractable postpartum hemorrhage, with high blood transfusion rate, ICU occupancy rate and neonatal hospitalization rate.

Key words： adenomyosis preeclampsia preterm birth low birth weight postpartum hemorrhage

Received: 10 July 2022

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	LIU Ping
	MA Lili
	SONG Fengli

Cite this article:

LIU Ping,MA Lili,SONG Fengli. Influence of different types of adenomyosis in pregnancy on maternal and fetal outcomes[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(12): 1028-1032.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I12/1028

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