摘要
目的探讨瘢痕子宫合并前置胎盘再次剖宫产对围生儿及产妇的危险性与临床疗效。方法选取我院因前置胎盘行剖宫产的产妇88例,将其中有过剖宫产史的42例作为观察组,另外46例无剖宫产史产妇作为对照组,对两组产妇的并发症及围生儿结局进行观察与分析。结果观察组42例产妇产后出血量显著高于对照组,并且子宫切除、胎盘植入以及胎盘粘连的并发症发生率显著高于对照组,对比差异有统计学意义(P<0.05);观察组产妇分娩后新生儿体重较对照组较低,并且新生儿窒息、胎儿窘迫、早产等例数也显著高于对照组,对比差异有统计学意义(P<0.05)。结论瘢痕子宫合并前置胎盘再次剖宫产,对围生儿及孕产妇会造成很高的危险性。
Objective To investigate the scar uterus and placenta previa repeat cesarean section of dangerous and clinical efficacy of perinatal and maternal. Methods In our hospital from placenta previa causes for cesarean sectionin 88 cases, of which will have had the history of cesarean section in 42 cases as the observation group, the other 46cases had no history of cesarean section parturient women as the control group, the observation and analysis ofcomplications of two groups of maternal and perinatal outcomes were. Results The observation group of 42 cases of postpartum hemorrhage were significantly higher than those in control group, and the removal of uterus, placenta implantation and complication incidence of placental adherence was significantly higher than the control group, the difference contrast is significantly higher than the control group （P〈0.05）; the observation group after childbirthneonatal weight compared with the control group, low, and neonatal asphyxia, fetal distress the number of cases,preterm delivery was significantly higher than that in control group, compared difference was statistically significant （P〈 0.05）. Conclusion Uterine scar with placenta previa cesarean section again, on the perinatal and maternal causeshigh risk.
出处
《实用妇科内分泌电子杂志》
2014年第5期13-15,共3页
Electronic Journal of Practical Gynecological Endocrinology
关键词
瘢痕子宫
前置胎盘
剖宫产
围生儿
Scar uterus
Placenta previa
Cesarean section
Perinatal
