疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产的对比  

Contrast between Secondary Cesarean Section and Non-scar Uterine Cesarean Section in Second Trimester Uterine Scar

作　　者：刘进[1] LIU Jin(Department of Obstetrics and Gynecology,Dongtai People＇s Hospital,Dongtai,Jiangsu Province,224200 China)

机构地区：[1]东台市人民医院妇产科,江苏东台224200

出　　处：《中外医疗》2018年第25期71-72,75,共3页China & Foreign Medical Treatment

摘　　要：目的对疤痕子宫再次妊娠、非疤痕子宫的剖宫产展开对比分析。方法方便选取2014年2月—2018年2月在该院接受剖宫产的208例产妇分作两组,104例疤痕子宫再次妊娠者作A组,104例非疤痕子宫者作B组,回顾性分析两组分娩情况。结果 A组手术用时、术中出血量、肛门排气时间、恶露持续时长、住院时长均多于B组,均差异有统计学意义(t=15.205、26.899、31.302、11.005、14.571、9.713,P=0.032、0.025、0.021、0.035、0.033、0.039);A组并发症发生率是11.54%,较B组的2.88%高,差异有统计学意义(χ~2=5.819,P=0.016);A组不良妊娠结局发生率占10.58%,较B组的1.92%高,差异有统计学意义(χ~2=6.741,P=0.009)。结论与非疤痕子宫剖宫产对比,疤痕子宫剖宫产产妇手术风险高,并发症多,建议临床对首次剖宫产率有效控制,以减少疤痕子宫,进而提升母婴安全性。Objective To compare the cesarean section of scarred uterus with re-pregnancy and non-scatTed uterus. Methods 208 maternal women who underwent cesarean section from February 2014 to February 2018 were conveniently selected and divided into two groups. 104 patients with scarred uterus and second trimester were group A and 104 patients with non-scarred uterus were group B. Analyze the two-component defect. Results Compared with group B, the time of operation, intraoperative blood loss, anal exhaust time, duration of lochia, and duration of hospitalization were all significantly higher in group A than in group B （t=15.205, 26.899, 31.302, 11.005, 14.571, 9.713, P=0.032, 0.025, 0.021, 0.035, 0.033, 0.039）; The incidence of complications in group A was 11.54%, which was higher than that in group B （2.88%）. The difference was statistically significant （χ2=5.819, P=0.016）; group A of incidence of adverse pregnancy outcomes was 10.58%, which was higher than 1.92% in group B. The difference was statistically significant （χ2=6.741, P=0.009）. Conclusion Compared with non-scatTed uterine cesarean section, scar uterine cesarean section has high risk of surgery and many complications. It is recommended to effectively control the first cesarean section to reduce scar uterus and improve maternal and infant safety.

关 键 词：疤痕子宫 再次妊娠 非疤痕子宫 剖宫产 

分 类 号：R719[医药卫生—妇产科学]