摘要
目的探讨分析瘢痕子宫与非瘢痕子宫剖宫产术后的疗效。方法选取2012年1月至2014年12月在我院行剖宫产分娩的产妇作为本次研究对象,将二次剖宫产者定义为瘢痕子宫组,初产妇并接受剖宫产者定义为非瘢痕子宫组。对比瘢痕子宫组和非瘢痕子宫组手术时间、术中出血量;瘢痕子宫组和非瘢痕子宫组新生儿体质量及Apgar评分;瘢痕子宫组和非瘢痕子宫组产后6个月上环率。结果瘢痕子宫组和非瘢痕子宫组患者手术时间、术中出血量结果比较有差异(P<0.05)。瘢痕子宫组和非瘢痕子宫组新生儿体质量及Apgar评分分别为(3.41±0.84)kg、(8.28±1.05)分,(3.35±0.76)kg、(8.34±1.26)分,结果比较无差异(P>0.05)。瘢痕子宫组和非瘢痕子宫组产后6个月上环率分别为22.94%(53/231)、41.99%(286/681),结果比较有差异(P<0.05)。结论本次研究认为瘢痕子宫再次剖宫产时会增加手术风险,导致手术出血量的增加,手术时间的延长,而且由于子宫恢复慢,子宫较大,产后上环时间较首次剖宫产者要长。
Objective To discuss the efficacy of non-scarred uterus and scarred uterus after cesarean section. Methods Puerperae that received cesarean section were selected, among which those who had secondary cesarean section were defined as scarred uterus group and the primiparae were defined as non-scarred uterus group. Two groups were compare the operative time, blood loss; newborns＇ birth weight and Apgar score; IUD placement rate after 6 months. Results The operative time, blood loss and IUD placement rate of two groups showed difference with a statistical significance（P〈0.05）, yet the newborns＇ birth weight and Apgar score of two groups had no significant difference（P〉0.05）. Conclusion The study suggested that scarred uterus receiving secondary cesarean section will lead to higher risk, increased blood loss and prolonged operation time, and the period of postpartum IUD placement was longer than the first cesarean -ee-tinn
出处
《中国医药指南》
2016年第1期18-19,共2页
Guide of China Medicine
关键词
瘢痕子宫
剖宫产
术后
疗效
Scarred uterus
Cesarean section
Postoperative
Efficacy
