Myome in der Schwangerschaft

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• 作者：PD Dr. M. Wallwiener MHBA ; S. Gawlik
• 关键词：Leiomyome ; Hysterektomie ; Myomenukleation ; Sonographie ; H盲morrhagie ; Leiomyoma ; Hysterectomy ; Myomectomy uterine ; Ultrasound ; Hemorrhage
• 刊名：Gyn?kologische Endokrinologie
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：13
• 期：2
• 页码：115-125
• 全文大小：547 KB
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• 作者单位：PD Dr. M. Wallwiener MHBA (1)
  S. Gawlik (1)
  
  1. Universit盲ts-Frauenklinik, Im Neuenheimer Feld 440, 69120, Heidelberg, Deutschland
  
• 刊物主题：Gynecology; Endocrinology; Reproductive Medicine;
• 出版者：Springer Berlin Heidelberg
• ISSN：1610-2908

文摘

Symptomatic uterine fibroids are a common and important cause of morbidity in women in the reproductive phase of life. The rate of fibroid-associated complications during pregnancy is approximately 10鈥?0鈥?; however, the available study data are insufficient. During early pregnancy, fibroids are associated with an increased miscarriage rate and hemorrhages are more frequent especially if placentation occurs close to a fibroid. Fibroids can for example cause premature labor, placental abruption, placenta previa and fetal deformation and malpresentation in late pregnancy. During pregnancy pain is the most common fibroid-associated complication, especially in the presence of large fibroids (>鈥?聽cm) during the second and third trimesters. In general, treatment is conservative and includes bed rest, analgesics and antibiotics. In rare cases, however, surgical treatment is required and the main focus is on myomectomy as a last resort.