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子宫肌瘤与生育

作者:admin        来源:99子宫网        发布日期:2009-05-31        访问量:10807
导读:子宫肌瘤的发生率大约占育龄妇女的20%~25%,多数发生在年龄30~50岁之间。子宫肌瘤是否影响受孕,与子宫肌瘤的部位、子宫肌瘤的大小、子宫肌瘤的数目有关。

       子宫肌瘤的发生率大约占育龄妇女的20%~25%,多数发生在年龄30~50岁之间。子宫肌瘤是否影响受孕,与子宫肌瘤的部位、子宫肌瘤的大小、子宫肌瘤的数目有关。例如宫颈肌瘤可影响精子进入宫腔,黏膜下子宫肌瘤易使子宫内膜感染而不利于孕卵着床,巨型多发性子宫肌瘤易使输卵管间质部被挤压而妨碍精子通过。有些学者认为,子宫肌瘤可以使肌壁或内膜静脉充血扩张,导致子宫内环境改变而不利于孕卵着床;或使胚胎发育供血不足而致流产,流产的发生率是非子宫肌瘤孕妇的2~3倍,且常为不完全 流产。大的肌层内子宫肌瘤或黏膜下子宫肌瘤可妨碍胎儿在宫内活动,造成胎位不正,如横位、臀位等,使剖宫产增加。在分娩过程中,由于肌瘤影响子宫的正常收缩,可使产程延长;嵌顿在盆腔内的肌瘤可以阻塞产道,造成难产。子宫肌瘤还可影响产后子宫收缩,引起产后出血或子宫复旧不良。若影响宫腔引流或子宫肌瘤表面发生溃疡,还易发生感染。

       妊娠对子宫肌瘤也有一定影响。妊娠后子宫肌瘤组织水肿,平滑肌细胞肥大,故子宫肌瘤常伴随子宫增大而增大;由于肌瘤在妊娠期增大较快而供血不足,以致出现退行性 变,其中以红色样变最常见,患者可出现发热、头痛、呕吐、局部压痛及白细胞升高等急腹症症状。

       由上可见,子宫肌瘤对生育的确有一定影响,应当积极治疗。

 

相关链接:

子宫肌瘤是先怀还是先治

子宫肌瘤影响怀孕吗?

别让子宫肌瘤挡好“孕”

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