剖宫产术后再次妊娠170例分娩结局分析  

The analysis of 170 cases pregnant women after cesarean section delivery.

作　　者：王俊飞[1] 沈树娜[1] 

机构地区：[1]内蒙古医学院第三附属医院妇产科,内蒙古包头014010

出　　处：《中国冶金工业医学杂志》2009年第4期388-389,共2页Chinese Medical Journal of Metallurgical industry

摘　　要：目的:探讨剖宫产术后再次妊娠分娩方式。方法:收集本院2003年1月～2006年1月住院剖宫产术后再次妊娠170例分娩方式进行分析。结果:170例剖宫产术后再次妊娠中,有62例(36.5%)行再次剖宫产,有108例(63.5%)阴道试产,71例(65.7%)试产成功;37例(34.3%)试产失败。结论:剖宫产史不是再次剖宫产的指征,应结合前次剖宫产的指征、手术方式、术后情况,本次妊娠情况及B超监测伤口情况综合考虑,符合试产条件者,严密监护下可阴道试产,发现异常应及时再次剖宫产,再次剖宫产仍以子宫下段切口手术疤痕为切口可以避免因剖宫术再次造成损伤。Objective：To analyze pregnancy delivery after cesarean section. Methods：170 cases of pregnant women after cesarean section delivery were retrospectively analyzed. Results： 108 cases of 170 cases vaginal trial production, the success of the pilot was 71 cases, the success rate of 65. 7%. the failure of the pilot was 37 cases, the rate of failure 34. 3%, Elective cesarean section 62 cases. Conclusions： Another indication of cesarean section was not the history of. cesarean section,in combination with the previous indication of caesarean section after operation, the wounds of pregnancy and ultrasound monitoring consideration,with trial production conditions, monitoring vaginal under trial production. It should do the cesarean section again,as soon as find the abnormal. The way of operation was still according to the define of the lower segment cesarean section, avoiding to make injury again.

关 键 词：剖宫产术 再次妊娠 分娩方式 

分 类 号：R719.8[医药卫生—妇产科学]