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子宫肌瘤是育龄女性最常见的良性肿瘤。随着女性生育年龄的推迟,合并子宫肌瘤的妊娠患者逐渐增多。文献资料显示,妊娠期间子宫肌瘤大小的变化与孕期呈现非线性相关。产褥期间子宫肌瘤可明显减小至孕前状态。孕前子宫肌瘤的大小、BMI、产次、年龄在一定程度上能影响妊娠期间子宫肌瘤的大小变化,而哺乳及产后月经复潮时间对妊娠期间子宫肌瘤的大小变化无影响。雌激素、孕激素、β-h CG在妊娠期间子宫肌瘤的大小变化中均起到一定作用。
Uterine fibroids are the most common benign tumors of women of childbearing age. With the postponement of the female reproductive age, pregnant women with uterine fibroids gradually increased. The literature shows that changes in the size of uterine fibroids during pregnancy and non-linear pregnancy related. Uterine fibroids during puerperal can be significantly reduced to pre-pregnancy status. Uterine fibroids before pregnancy size, BMI, parity, age to a certain extent, can affect the size of uterine fibroids during pregnancy changes, and breastfeeding and postpartum menstrual recuperation time changes in the size of uterine fibroids during pregnancy had no effect. Estrogen, progesterone, β-h CG play a role in the size of uterine fibroids during pregnancy.