摘要
目的探讨剖宫产后疤痕子宫再次妊娠分娩方式的合理选择。方法方便选取2014年1月—2017年10月该院100例剖宫产疤痕子宫再次妊娠产妇为研究对象,依据分娩方式不同分为实验组(阴道分娩,50例)和对照组(剖宫产,50例),对比观察两组分娩结局。结果实验组阴道分娩41例,9例改行剖宫产,阴道分娩成功率82.0%。实验组产时出血量(212.7±53.4)m L,产后住院时间(3.8±0.4)d,与对照组比较差异有统计学意义(P<0.05)。实验组并发症发生率6.0%,新生儿Apgar评分(9.2±0.4)分,与对照组比较差异无统计学意义(P>0.05)。结论剖宫产疤痕子宫再次妊娠应综合考虑多方面因素谨慎选择最适宜的分娩方式,对于具备阴道分娩指征、排除禁忌症的剖宫产疤痕子宫再次妊娠产妇,在加强产程监测的前提下,予以阴道分娩是安全可行的,值得推广使用。
Objective This paper tries to explore the reasonable choice of delivery mode of scar uterus after cesarean section.Methods Convenient selected 100 cases of cesarean scar pregnancy in this hospital from January 2014 to October 2017 were divided into experimental group(vaginal delivery,50 cases)and control group(cesarean section,50 cases Cases),and the results were compared between the two groups.Results The experiment showed that there were 41 cases of vaginal delivery in experimental group and its success rate was 82.0%,and 9 cases of cesarean section.The amount of bleeding in experimental group was(212.7±53.4)mL and the length of stay in postnatal period was(3.8±0.4)d,which was significantly different from that in control group(P<0.05).The incidence of complications in the experimental group was 6.0%,and Apgar score in neonates was(9.2±0.4)points.There was no significant difference between the experimental group and the control group(P>0.05).Conclusion Cesarean scar pregnancy again uterine should take into account many factors carefully choose the most appropriate mode of delivery.For indications of vaginal delivery,contraindications to exclude contraceptives cesarean scar pregnancy again,under the premise of strengthening labor monitoring,vaginal delivery is safe and feasible.It is worth popularizing.
作者
高艳
GAO Yan(Obstetrics and Gynecology Department,Yangzhou hongquan hospital,Yangzhou,Jiangsu Province,225200 China)
出处
《中外医疗》
2018年第5期43-45,共3页
China & Foreign Medical Treatment
关键词
疤痕子宫
再次妊娠
阴道分娩
剖宫产
Cesarean section
Scar uterus
Second pregnancy
Delivery mode
