二次剖宫产术对瘢痕子宫再次妊娠产妇及新生儿的影响  

Effect of repeated cesarean section on secondary pregnant women with scarred uterus and the newborns

作　　者：尹君 YIN Jun(Department of Obstetrics and Gynecology,Ganzhou Municipal Hospital in Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市立医院妇产科

出　　处：《中国当代医药》2020年第2期114-116,共3页China Modern Medicine

摘　　要：目的探讨二次剖宫产术对瘢痕子宫再次妊娠产妇及新生儿的影响。方法回顾性分析2017年1月~2018年6月我院收治的130例剖宫产术产妇的临床资料,将非瘢痕子宫行剖宫产术的65例产妇作为对照组,将瘢痕子宫行剖宫产术的65例二次剖宫产术产妇作为观察组。比较两组产妇的手术时间、恶露持续时间及住院时间,并观察两组产妇的出血量、术后并发症及新生儿结局。结果观察组产妇的手术时间、恶露时间及住院时间长于对照组,术中及术后出血量多于对照组,差异有统计学意义(P<0.05);观察组子宫切除、胎盘植入、产后出血等并发症总发生率高于对照组,差异有统计学意义(P<0.05);观察组的新生儿窒息率高于对照组,新生儿Apgar评分低于对照组,差异有统计学意义(P<0.05);两组的新生儿体重比较,差异无统计学意义(P>0.05)。结论瘢痕子宫二次剖宫产危险系数高,术后并发症多,且对母婴影响较大,临床上应严格控制剖宫产指标,以降低瘢痕子宫再次剖宫产的概率。Objective To investigate the effect of repeated cesarean section on secondary pregnant women with scarred uterus and the newborns.Methods The clinical data of 130 pregnant women with cesarean section admitted to our hospital from January 2017 to June 2018 were retrospectively analyzed.A total of 65 cases of non-scarred uterus with cesarean section were selected as control group,and 65 cases of scarred uterus with repeated cesarean section were taken as observation group.The operation time,duration of lochia and hospital stays were compared between the two groups.The maternal bleeding volume,postoperative complications and neonatal outcome in the two groups were observed.Results The operation time,duration of lochia and hospital stays in the observation group were longer than those in the control group,the intraoperative and postoperative bleeding volume in the observation group were more than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of hysterectomy,placenta accreta and postpartum hemorrhage in observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The rate of neonatal asphyxia in the observation group was higher than that in the control group,while the Apgar scores of newborns in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no statistical difference in the neonatal weight between the two groups(P>0.05).Conclusion The scar uterus with repeated cesarean section has higher risk and more postoperative complications,and it has a greater impact on mother and fetus.Clinically,it is necessary to strictly control cesarean section indexes,so as to reduce the incidence of scar uterus with repeated cesarean section.

关 键 词：瘢痕子宫 再次妊娠 二次剖宫产 母婴结局 

分 类 号：R719.8[医药卫生—妇产科学]