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中华产科急救电子杂志 ›› 2026, Vol. 15 ›› Issue (01) : 33 -37. doi: 10.3877/cma.j.issn.2095-3259.2026.01.008

妊娠合并子宫肌瘤

孕前子宫肌瘤剔除患者的妊娠结局
许传露, 应豪()   
  1. 201204 上海市第一妇婴保健院产科 同济大学附属妇产科医院
  • 收稿日期:2026-01-04 出版日期:2026-02-18
  • 通信作者: 应豪
  • 基金资助:
    国家自然基金(82471728,82271719,81801464); 上海市优秀学术带头人(23XD1402700); 上海东方英才拔尖人才、上海市临床能力促进与提升产科专科联盟(SHDC22025309); 上海市卫生健康委员会卫生行业临床研究专项(202440190); 浦东新区卫生健康委员会研究者发起的临床研究项目建设(医企融合)(2025-PWYC-07)

Pregnancy outcomes in patients undergoing preconception myomectomy

Chuanlu Xu, Hao Ying()   

  • Received:2026-01-04 Published:2026-02-18
  • Corresponding author: Hao Ying
引用本文:

许传露, 应豪. 孕前子宫肌瘤剔除患者的妊娠结局[J/OL]. 中华产科急救电子杂志, 2026, 15(01): 33-37.

Chuanlu Xu, Hao Ying. Pregnancy outcomes in patients undergoing preconception myomectomy[J/OL]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2026, 15(01): 33-37.

子宫肌瘤是育龄期女性中最常见的生殖器官良性肿瘤,其对生育能力的影响及对妊娠结局的潜在风险,构成了生殖医学与产科学领域的一个重要交叉课题。对于有生育需求的患者,子宫肌瘤剔除术是缓解症状的主要手段,也是实现成功妊娠的关键干预措施。然而,子宫肌瘤剔除术在去除病灶的同时,也改变了子宫解剖结构和肌层的完整性,进而对后续的妊娠、分娩及围产期结局产生影响。本文系统阐述子宫肌瘤剔除术后的妊娠结局,探讨子宫肌瘤剔除手术方式、术后妊娠时机、孕期监护、分娩方式以及潜在并发症的管理策略,旨在为临床实践提供一套从术前评估到产后随访的完整管理框架。

Uterine fibroids are the most common benign pelvic tumors in women of reproductive age. The intricate relationship between fibroids and fertility, along with their potential effects on pregnancy outcomes, represents a significant intersection in reproductive medicine and obstetrics. For patients desiring future fertility, myomectomy not only alleviates symptoms but also serves as a key intervention to optimize the chances of successful pregnancy. However, while preconception myomectomy removes the lesions, it simultaneously alters uterine anatomy and compromises myometrial integrity, thereby influencing subsequent pregnancy, delivery, and perinatal outcomes. This article reviews pregnancy outcomes following myomectomy, discussing the choice between laparoscopic and open surgical approaches, the optimal interval to conception after surgery, prenatal surveillance, mode of delivery, and the prevention and management of potential complications. The goal is to establish a comprehensive clinical management framework spanning from preoperative evaluation to postpartum follow-up.

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