摘要
目的:分析再次剖宫产时,原子宫切口愈合情况,探讨影响其愈合的相关因素。方法:本文对78例再次剖宫产者,术中所见及前次手术资料进行临床分析。结果:子宫切口愈合不良的发生率为28.2%,与术后间隔时间、术后感染率、子宫切口位置高低、腹腔粘连程度有关,而与剖宫产时机、孕妇的年龄、职业、孕产史、体重、孕周、胎儿的大小无关。结论:剖宫产后再次妊娠的时间至少应距前次妊娠间隔3年,前次剖宫产有术后病率及子宫切口情况不祥者,再次足月妊娠最好不选择阴道试产,以防子宫破裂发生,确保母婴安全。
Objective： To analyse the healing status of original uterine incision though repeat cesarean section. To study the factors that may influence the healing of uterine incision from cesarean section. Methods：analyse the clincal feature of the healing of uterine incision from 78 case of repeat cesarean section. Results：The rate of unhealthy uterine incision was 28.2% .The following factors have been implicated in the occurrence of unhealthy uterine incision：time interval after previous cesarean section, puerperal morbidity, uterine incision site unusual and peritoneal adhesion. The following factors have no significant differences in unhealthy of uterine incision： age, occupation, times of gestation/parturition, weight, gestational age, body weight. Conclusions ： The time interval between previous cesarean section and the following pregnancy should be more than 3 years. Postcesarean puerperal morbidity and unknown situation of previous cesarean section should not be allowed for a trial of vaginal labour in order to reduce the risk of rupture of uterus and may ensure the safety of pregnant woman and baby.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2006年第7期430-432,共3页
Journal of Practical Obstetrics and Gynecology
关键词
子宫切口
剖宫产
术后感染率
Uterine incision
Cesarean section
Postcesarean puerperal morbidity
