剖宫产术后瘢痕子宫再次妊娠阴道试产失败的影响因素研究  

Study on the Influencing Factors of Vaginal Trial Failure after re-pregnancy of Scar Uterus after Cesarean Section

作　　者：张洁[1] 陈旭日[1] 吴敏[1] Zhang Jie;Chen Xuri;Wu Min(Department of Obstetrics,Bao'an District Maternal and Child Health Hospital,Shenzhen 518000)

机构地区：[1]深圳市宝安区妇幼保健院产科

出　　处：《数理医药学杂志》2019年第11期1642-1643,共2页Journal of Mathematical Medicine

基　　金：深圳市科技计划项目(编号:201303139)

摘　　要：目的:研究剖宫产术后瘢痕子宫再次妊娠阴道试产失败的影响因素。方法:选某院剖宫产术后瘢痕子宫再次妊娠204例,102例阴道试产为观察组,102例再次剖宫产为对照组,分析选择不同生产方式的结局。结果:观察组患者阴道分娩的成功率、术后出血量、产褥病发生率、并发症发生率均显著优于对照组。结论:疤痕子宫再次妊娠阴道试产必须严格遵守阴道分娩的标准,并在分娩过程中加强监控,增加阴道分娩的成功率。Objective: To study the influencing factors of vaginal trial failure after re-pregnancy of scar uterus after cesarean section. Methods: 204 cases of scar uterus re-pregnancy after cesarean section in a hospital were selected. 102 cases of vaginal trial production were observed group, and 102 cases of cesarean section were used as control group. The outcomes of different production methods were selected. Results: The success rate of vaginal delivery, the amount of postoperative bleeding, the incidence of rickets, and the incidence of complications were significantly better in the observation group than in the control group. Conclusion: Scar uterus re-pregnancy vaginal trial labor must strictly follow to the standard of vaginal delivery, and strengthen the monitoring in the process of delivery, increase the success rate of vaginal delivery.

关 键 词：剖宫产术后 瘢痕子宫 再次妊娠 阴道试产失败 

分 类 号：R714.4[医药卫生—妇产科学]