剖宫产瘢痕子宫早期人工流产1317例手术防范  

Operative Precaution of 1317 Terminations of Early Pregnancy in the Scarred Uterus after Cesarean Section with Vacuum Aspiration

作　　者：童羿萍 陆丽亚[1] 徐叶琴[1] 何晓音[1] 

机构地区：[1]浙江萧山医院妇科,萧山311200

出　　处：《中国现代手术学杂志》2015年第6期468-470,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的总结剖宫产瘢痕子宫早期人工流产操作经验。方法对1 317例剖宫产后瘢痕子宫早期妊娠人工流产负压吸宫术的临床资料进行回顾性分析。结果术后未发生漏吸、子宫穿孔及术后感染,仅1例出血较多和1例术后残留,分别予以处理后未发生严重并发症。结论剖宫产后再次妊娠因子宫属病理子宫,对人工流产的手术操作带来一定的难度,手术医师应注意剖宫产瘢痕子宫早期人工流产的处理原则和操作流程,尤其采取对剖宫产术后再次人工流产者做好流产后关爱(post-abortion care,PAC)等措施,以尽量避免非意愿妊娠。Objective To summarize the experiences of terminating early pregnancy after cesarean sec- tion with vacuum aspiration. Method Retrospective analysis was carried out in 1 317 cases of terminations of early pregnancy in the scarred uterus after cesarean section with vacuum aspiration. Results Among the 1 317 cases, there was none of missed aspiration, uterine perforation, nor postoperative infection. One pa- tient occurred hemorrhage and another one occurred incomplete artificial abortion. They got recovery after ap- propriate treatments. Conclusion The scarred uterus belongs to pathological uterus which makes the artifi- cial abortion much more difficult. To minimize the risk of unintended pregnancy, it should reduce the opera- tion complications, especially improve the post abortion care（PAC） to the patients who have a history of ce- sarean section and need abortion.

关 键 词：流产 人工 瘢痕子宫 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]