摘要
目的探讨瘢痕子宫再次妊娠产妇剖宫产术后发生盆腹腔粘连的危险因素。方法选择2018年8月至2020年12月洛阳新区人民医院收治的110例瘢痕子宫再次妊娠产妇作为研究对象。所有产妇均于洛阳新区人民医院经剖宫产手术分娩,并获得6个月随访。根据产妇术后盆腹腔粘连情况,将产妇分为发生组和未发生组。统计并记录产妇基线资料,分析瘢痕子宫再次妊娠产妇剖宫产术后发生盆腹腔粘连的危险因素。结果110例瘢痕子宫再次妊娠产妇剖宫产后,63例(57.27%)发生盆腹腔粘连。发生组切口方式为横切口、产褥期感染、未关闭腹膜产妇占比高于未发生组(P<0.05);两组其他资料相比,差异无统计学意义(P>0.05)。多因素logistic回归分析结果显示,切口方式为横切口、产褥期感染及未关闭腹膜是瘢痕子宫再次妊娠产妇剖宫产术后发生盆腹腔粘连的独立危险因素(OR>1,P<0.05)。结论切口方式为横切口、产褥期感染及未关闭腹膜是瘢痕子宫再次妊娠产妇剖宫产术后发生盆腹腔粘连的危险因素,临床可据此进行有针对性的干预,以降低术后盆腹腔粘连发生风险。
Objective To explore the influencing factors of pelvic-abdominal adhesion after cesarean section in re-pregnant women with scarred uterus.Methods A total of 110 re-pregnant women with scarred uterus treated in New Area People’s Hospital of Luoyang from August 2018 to December 2020 were selected as the research subjects.All the parturients underwent cesarean section in New Area People’s Hospital of Luoyang,and obtained 6 months of follow-up.According to the postoperative pelvic-abdominal adhesions,the puerperae were divided into the occurrence group and the non-incidence group.The baseline data of puerperae were recorded,and the risk factors of pelvic-abdominal adhesions after cesarean section for re-pregnancy with scarred uterus were analyzed.Results After cesarean section in 110 cases of re-pregnancy with scarred uterus,63 cases(57.27%)developed pelvic-abdominal adhesions.The incidence of transverse incision,puerperium infection and unclosed peritoneum in the occurrence group were higher than those in the non-occurrence group(P<0.05).There was no statistical difference in other data between the two groups(P>0.05).Multivariate logistic regression analysis showed that transverse incision,puerperium infection and unclosed peritoneum were independent risk factors for pelvic-abdominal adhesions after cesarean section in women with re-pregnancy with scarred uterus(OR>1,P<0.05).Conclusion Transverse incision,puerperium infection and unclosed peritoneum are risk factors for pelvic-abdominal adhesions after cesarean section in women with re-pregnancy with scarred uterus.Based on this,targeted interventions could be carried out to reduce the risk of postoperative pelvic-abdominal adhesions.
作者
牛利娜
NIU Li’na(Department of Obstetrics and Gynecology,New Area People’s Hospital of Luoyang,Luoyang 471000,China)
出处
《河南医学研究》
CAS
2022年第2期301-303,共3页
Henan Medical Research
关键词
瘢痕子宫
再次妊娠
剖宫产
盆腔粘连
腹腔粘连
危险因素
scarred uterus
re-pregnancy
cesarean section
pelvic adhesion
intraperitoneal adhesion
risk factor
