摘要
目的分析瘢痕子宫再次剖宫产术发生并发症的原因,以降低剖宫产率。方法对212例再次剖宫产术(研究组)与1000例初次剖宫产术(对照组)病历资料进行比较分析。结果①再次剖宫产组的盆腹腔粘连率、子宫破裂率、前置胎盘率、胎盘植入率、产后出血率分别为43.40%、6.60%、10.85%、4.72%、3.30%,均明显高于初次剖宫产组(P均<0.05);②初、再次剖宫产术间隔时间≤2年者,发生子宫破裂的比例明显高于间隔时间>2年者(P<0.05)。结论加强健康教育,指导孕产妇正确选择分娩方式,正确掌握剖宫产指征,正确分析、处理再次剖宫产相关危险因素,是降低产科并发症的有效措施。
Objective To analyze the re-cesarean uterine scar causes of complications and reduce the risk of surgery.Methods The clinical data of 212 cases of cesarean section again（the study group） and 1000 cases of primary cesarean section（the control group） were analyzed.Results ①The rate of abdominal adhesions,uterine rupture rate,rate of placenta previa,placentaaccretearate,postpartum hemorrhage rates in the study group were 43.40%,6.60%,10.85%,4.72%,3.30%,which were significantly higher than the control group（P0.05）;②Uterine rupture of early again cesarean section interval≤2 years was significantly higher than that of the interval2 years（P0.05）.Conclusion Lower rate of cesarean section,cesarean section to avoid again within two years,the correct analysis and treatment of related risk factors for cesarean section again,are an effective way to reduce surgical risk.
出处
《四川医学》
CAS
2013年第7期924-926,共3页
Sichuan Medical Journal
关键词
瘢痕子宫
再次
剖宫术
并发症
uterine scar
again
cesarean surgery
complications
