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懷孕后檢查出有子宮肌瘤怎么辦？

出處：網(wǎng)絡收集 日期：2024-07-08 12:41:48 編輯：秩名

懷孕后檢查出有子宮肌瘤，其處理應根據(jù)妊娠月份、肌瘤大小和臨床表現(xiàn)等因素而定。
 
(l)妊娠早期子宮肌瘤的處理：妊娠早期對子宮肌瘤的干預易導致流產，故可等待至妊娠中期。如果肌瘤很大，估計繼續(xù)妊娠出現(xiàn)并發(fā)癥的機會較多，如患者要求做人工流產則可先終止妊娠，短期內行肌瘤摘除術，或做人工流產的同時行肌瘤摘除術。
 
(2)妊娠中期子宮肌瘤的處理：①肌瘤直徑小于6厘米，且無癥狀者，定期產前檢查，絕大多數(shù)不需特殊處理；②肌瘤直徑大于6厘米，隨著子宮的增長肌瘤還可能繼續(xù)增大，而大型肌瘤易有紅色樣變而刺激子宮收縮或有腹膜刺激癥狀，屆時產科醫(yī)師只是建議患者臥床休息及應用止痛劑等進行保守治療，很少建議在妊娠期行子宮肌瘤剔除手術，只有在不得已情況下才行肌瘤剔除術。
 
(3)妊娠晚期子宮肌瘤的處理：小型肌瘤可不予處理。如肌瘤直徑大于8厘米，但無任何癥狀，可等到足月時做剖宮產，同時行子宮肌瘤剔除手術。因為大型子宮肌瘤，不但有可能影響子宮收縮、產力失常而滯產，而且產后胎盤滯留、產后出血和產后感染的可能性均多于正常產婦。個別情況下，還可能因為不易控制的產后出血或產后感染而被迫切除子宮。因此，分娩方式以擇期剖宮產為宜，剖宮產同時作肌瘤摘除術。

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