492例瘢痕子宫妊娠分娩结局临床分析  

CLINICAL ANALYSIA OF DELIVERY RESULTS OF 492 PREGNANT WOMEN WITH SCAR UTERUS

作　　者：刘正飞[1] 孙琴[1] 张丽[1] 王晓东[1] 曾蔚越[1] 刘兴会[1] 

机构地区：[1]四川大学华西第二医院,成都610041

出　　处：《现代预防医学》2010年第21期4056-4058,共3页Modern Preventive Medicine

摘　　要：[目的]探讨492例瘢痕子宫孕妇的妊娠分娩结局,了解瘢痕子宫再次妊娠分娩的并发症及风险,旨在降低社会因素提升的剖宫产率。[方法]对492例瘢痕子宫妊娠分娩结局及其相关因素进行回顾性对照分析。[结果]瘢痕子宫妊娠分娩方式基本为剖宫产,胎盘粘连甚至植入和前置胎盘发生率、子宫破裂率、再次剖宫产术中平均出血量、手术时间均高于非瘢痕子宫孕产妇。[结论]瘢痕子宫再次妊娠分娩风险明显提高,随着再次妊娠分娩人群增多,严格控制非医学指征剖宫产已十分必要。[Objective] To study the delivery results of 492 pregnant women with scar uterus to provide basis to reduce cesarean rate that caused by social factors,complications and risks of repeated pregnancy.[Methods] The delivery results of 492 pregnant women with scar uterus and corresponding factors were reviewed and analyzed by retrospective comparative methods.[Results] The delivery way of pregnant women with scar uterus mainly was cesarean.Not only the incidence rates of placental adhesion,implantation,and placental previa,but also the rates of uterine rupture and average amount of intraoperative bleeding in the recurred cesarean were higher than those of pregnant women with non-scar uterine.And the former＇s operation time was longer.[Conclusion] The risks of repeated pregnancy on women with scar uterus are significantly raised,while the population of repeated pregnant women is growing up,it is entirely necessary to strictly control the occurrence of cesarean section without medical signs.

关 键 词：瘢痕子宫 分娩结局 剖宫产 指征 

分 类 号：R714[医药卫生—妇产科学]