瘢痕子宫再妊娠分娩214例临床分析  

Clinical analysis of repregnancy and parturition of 214 cases with scared uterine

作　　者：郭鹏[1] Guo Peng(Yanzhou Hospital District of Affiliated Hospital of Jining Medical College of Shandong 272000)

机构地区：[1]山东济宁医学院附属医院兖州院区,272000

出　　处：《中国社区医师》2016年第36期68-69,共2页Chinese Community Doctors

摘　　要：目的:探讨瘢痕子宫再次妊娠分娩的安全性及应用。方法:收治瘢痕子宫分娩产妇214例。分为剖宫产组和阴道分娩成功组。对两组产妇子宫下段的瘢痕厚度进行测定,比较、分析两组产妇住院天数、产后出血量、新生儿体重及Apgar评分。结果:阴道试产50例,试产率23%,成功34例,转剖宫产16例。剖宫产180例。再次剖宫产组产后出血量高于阴道分娩组、住院时间均长于阴道分娩组(P<0.05)。结论:对于瘢痕子宫妊娠分娩,通过对产妇及胎儿的体征进行严格检查,严密观察产程,可以通过选择阴道分娩的方式进行分娩,该方法具有术中出血少、术后并发症少等优势。Objective:To explore the safety and application of repregnancy and parturition of scared uterine.Methods:214 cases of pregnant women with scar uterus were selected.They were divided into the cesarean section group and the vaginal delivery success group.The scar thickness of the lower uterine segment of the two groups was measured.The maternal hospitalization days,postpartum hemorrhage,neonatal weight and Apgar scores of the two groups were compared and analyzed.Results:50 cases with vaginal trial production,and the trial production rate was 23%,success in 34 cases,16 cases turned to cesarean section.180 caseswere with cesarean section.The rate of postpartum hemorrhage in the cesarean section group was higher than that in the vaginal delivery group,and the length of stay in hospital was longer than that in the vaginal delivery group(P<0.05).Conclusion:For uterine scar pregnancy,through strict examination of the maternal and fetal signs,strict observation of labor,we can choose the way of delivery by vaginal delivery,which has the advantages of less intraoperative bleeding and less postoperative complications.

关 键 词：瘢痕子宫 再次妊娠 分娩方式 

分 类 号：R714.4[医药卫生—妇产科学]