子宫下段修补术在瘢痕子宫妊娠患者再次剖宫产术中的临床应用  

Clinical Application of Lower Uterine Segment Repairing Surgery for Women with Scar Uterus in Repeated Cesarean Section

作　　者：单丹[1] 周容[1] 胡雅毅[1] 

机构地区：[1]四川大学华西第二医院,四川成都610041

出　　处：《实用妇产科杂志》2015年第10期745-748,共4页Journal of Practical Obstetrics and Gynecology

基　　金：国家自然科学基金青年基金(编号:81200452)

摘　　要：目的：探讨再次剖宫产术中行子宫下段修补术在瘢痕子宫妊娠患者中的临床应用价值。方法：回顾性分析我院2014年1~12月产科就诊的80例瘢痕子宫妊娠患者,随机分组,40例患者术中行子宫下段修补术为修补组,另外40例未修补下段者为非修补组。比较两组患者术后24小时内出血量、术后再次使用强效宫缩剂例数、手术时间、新生儿体重、新生儿出生5分钟Apgar评分、产褥病率及术后住院时间等。结果：修补组产后出血量为376.00±107.00ml,非修补组为432.00±135.56ml,差异有统计学意义（P〈0.05）,两组患者在手术时间、新生儿体重、出生5分钟Apgar评分、产褥病率、再次使用强效宫缩剂例数、术后住院时间等比较均差异无统计学意义（P〉0.05）。结论：瘢痕子宫妊娠患者再次剖宫产中行子宫下段修补术可以减少产后出血量,其方法简便有效。Objective：To evaluate the clinical value of lower uterine segment repairing surgery for women with scar uterus in repeated cesarean section.Methods：The cinical data of 80 pregnant women with scar uterus from Jan.2014 to Dec.2014 in our hospital were analyzed retrospectively.Lower uterine segment reparing surgery were performed in 40cases（repair group）,another 40 cases just accepted routine cesarean section without the repairing of lower uterine segment（non-repair group）.Blood Loss in the first 24 hours after operation,number of cases treated with potent tocolytic agents,operation time and puerperal morbidity were compared between the two groups.Results：Blood loss in the first 24 hours after operation between the two groups were statistically different（P〈0.05）,with 376.00±107.00 ml in repair group and 432.00±135.56 ml in non-repair group.There was no significant difference on number of cases treated with potent tocolytic agents,neonatal body weight,operation time,puerperal morbidity and postoperative hospital stay between the two groups（P〉0.05）.Conclusions：Repairing lower uterine segment in repeated cesarean section is an efficient,practical and reliable method to decrease the blood loss for women with scar uterus.

关 键 词：瘢痕子宫妊娠 再次剖宫产 子宫下段修补术 

分 类 号：R714[医药卫生—妇产科学]