疤痕子宫再次妊娠经阴道分娩的可行性及安全性  

Feasibility and Security of Uterine Scar Pregnancy Again Vaginal Delivery

作　　者：刘宗玉[1] 叶长寿[1] 

机构地区：[1]福建医科大学附属宁德市闽东医院产科,355000

出　　处：《中国卫生标准管理》2015年第20期35-36,共2页China Health Standard Management

摘　　要：目的：对疤痕子宫再次妊娠经阴道分娩的可行性及安全性进行分析探讨，为今后的临床工作提供有价值的参考信息。方法抽取在2013年4月～2015年4月间我院收治的疤痕子宫再次妊娠产妇96例，将其按照分娩方式分成剖宫产组和阴道分娩组，每组均包含有产妇48例，而后对这两组产妇的妊娠结局展开对比分析。结果剖宫产组产妇均成功分娩，阴道分娩组中阴道试产成功分娩者34例，成功率为70.83%；两组产妇均未出现子宫破裂现象；两组产妇分娩时间、母婴存活率比较无统计学差异（P＞0.05）；阴道分娩组产妇出血量、住院时间均较剖宫产组少（P＜0.05）；阴道分娩组产后并发症发生率较剖宫产组发生降低（P＜0.05）。结论针对疤痕子宫再次妊娠产妇建议符合阴道试产条件者积极展开阴道试产，通过对比可证实，疤痕子宫阴道分娩的可行性以及安全性较高，在今后的临床工作中应对其给予足够的重视。Objective Uterine scar pregnancy,vaginal delivery of the feasibility and safety again analyzed and discussed,providing valuable reference information for future clinical work.MethodsExtraction from April 2013 to April 2015 in our hospital uterine scar again,96 cases of pregnant women,which is divided according to mode of delivery cesarean section group and the vaginal delivery group,each group containing 48 cases of maternal,then the two groups expanded maternal pregnancy outcomes analyzed.Results Maternal cesarean group were successful delivery,vaginal delivery group, the successful trial production of vaginal delivery in 34 cases,the success rate was 70.83%,two groups of mothers were not there the phenomenon of uterine rupture,two maternity time,maternal and child survival there was no significant difference（P〉0.05）,maternal vaginal delivery group blood loss,hospital stay less than in cesarean group（P〈 0.05）,vaginal delivery group postpartum complication rate compared with cesarean group had lower（P〈 0.05）.Conclusion For pregnant women uterine scar again recommend vaginal trial production in line with the conditions to actively expand the vaginal trial production,by contrast verifiable feasibility uterine scar vaginal delivery and high security,they should in future clinical work given enough attention.

关 键 词：瘢痕子宫 再次妊娠 阴道分娩 可行性 安全性 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]