关于瘢痕子宫患者阴道试产失败的相关因素研究  

Evaluation of the Tactors of Trial of Labor Failure in Patients with Scar Uterus

作　　者：王梅[1] 郭剑星[2] 刘月华[1] WANG Mei;GUO Jian-xing;LIU Yue-hua(The Third Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450052,China;Henan Traditional Chinese Medicine Hospital,Zhengzhou,Henan,450002,China)

机构地区：[1]郑州大学第三附属医院,河南郑州450052 [2]河南省中医院,河南郑州450002

出　　处：《临床研究》2018年第2期68-70,共3页Clinical Research

摘　　要：目的探讨瘢痕子宫患者阴道试产失败的相关影响因素。方法选取我院收治的60例瘢痕子宫再次分娩孕妇的临床研究资料,所有的患者均有一次子宫下段横切口剖宫产史,与阴道试产指征相吻合,并实施阴道试产,对影响孕妇阴道试产失败的主要因素进行分析。结果 60例瘢痕子宫再次分娩孕妇,阴道试产顺利者48例,成功率为80.0%;阴道试产成功者出血量为(253.51±19.56)ml,显著低于剖宫产孕妇(501.32±30.67)ml;此外,阴道试产失败的相关因素有胎儿窘迫、中途拒绝继续试产、宫缩乏力及产程异常、先兆子宫破裂等。结论临床中,导致孕妇发生阴道引产失败的主要影响因素有胎儿窘迫、中途拒绝继续试产、宫缩乏力及产程异常、先兆子宫破裂等,因此需根据孕妇手术指征情况给予合理的分娩方式。Objective To investigate the influencing factors of trial of labor failure in patients with scar uterus.Methods A total of 60 pregnant women with scar uterus were enrolled in this study.All subjects underwent lower uterine segment transverse incision cesarean section,consistent with the indications of vaginal trial production.All subjects were implemented trial of labor.The influencing factors of trial of labor failure were investigated.Results Among the 60 cases of pregnant women,48 cases were successful,the success rate for trial of labor was 80.0%.The bleeding was significantly lower than those underwent cesarean section(501.32±30.67)ml vs(253.51±19.56)ml).The factors of trial of labor were fetal distress,halfway refused to continue trial production,uterine inertia and abnormal labor,and threatened uterine rupture.Conclusion The factors of trial of labor are fetal distress,halfway refused to continue trial production,uterine inertia and abnormal labor,and threatened uterine,etc.A reasonable delivery mode should consider the indicators of pregnant women.

关 键 词：瘢痕子宫 阴道试产 影响因素 

分 类 号：R714.7[医药卫生—妇产科学]