子宫下段瘢痕组织厚度与剖宫产后瘢痕子宫再妊娠妇女阴道试产成功率的关联性分析  

Analysis of the Correlation Between the Thickness of Scar Tissue in the Lower Uterus and the Success Rate of Vaginal Delivery After Cesarean Section

作　　者：鄂艳丽 E Yan-li(Department of Obstetrics,Jiaozuo Maternal and Child Health Hospital,Jiaozuo 454000 China)

机构地区：[1]焦作市妇幼保健院产科,河南焦作454000

出　　处：《内蒙古医学杂志》2020年第2期135-137,共3页Inner Mongolia Medical Journal

摘　　要：目的探讨子宫下段瘢痕组织厚度与剖宫产后瘢痕子宫再妊娠妇女阴道试产成功率的关联性。方法选取2016年5月至2019年6月我院剖宫产后瘢痕子宫再妊娠妇女106例作为研究对象。分析其一般资料,探究阴道试产成功影响因素,分析与阴道试产成功率关联性。结果将产妇一般资料纳入单因素回归分析,结果显示,妊娠时间间隔、子宫下段瘢痕组织厚度、体质量指数、年龄是阴道试产成功主要影响因素,进一步经Logistic回归分析,结果显示,子宫下段瘢痕组织厚度是阴道试产成功独立影响因素(P<0.05);42例子宫下段瘢痕组织厚度2~3 mm产妇阴道试产成功19例,64例子宫下段瘢痕组织厚度>3 mm产妇阴道试产成功48例,>3 mm产妇阴道试产成功率75.00%(48/64)较2~3 mm产妇45.24%(19/42)高(P<0.05);经Spearman分析,瘢痕组织厚度与阴道试产成功率呈正相关(P<0.05)。结论子宫下段瘢痕组织厚度是剖宫产后瘢痕子宫再妊娠妇女阴道试产成功的独立影响因素,与阴道试产成功率关系密切,临床可通过检测其厚度评估阴道试产风险。Objective To investigate the correlation between the thickness of scar tissue in the lower uterus and the success rate of vaginal trials in women with scar uterine repregnancy after cesarean section.Methods From May 2016 to June 2019, 106 women with scar uterine pregnancy after cesarean section were selected as the research objects. Analyze the general data, explore the influencing factors of successful vaginal trial production, and analyze the correlation with the success rate of vaginal trial production.Results The maternal general information was included in the univariate regression analysis. The results showed that the pregnancy interval, the thickness of the scar tissue in the lower uterus, body mass index, and age were the main influencing factors for successful vaginal delivery. Further logistic regression analysis showed that the scar in the lower uterus Tissue thickness is an independent influencing factor for successful vaginal delivery(P<0.05);42 cases of uterine scar tissue thickness of 2 to 3 mm were successfully tested in 19 cases, 64 cases of uterine scar tissue thickness of 3 mm were successful in 48 cases The success rate of vaginal trials for 3 mm women was 75.00%(48/64) higher than the 45.24%(19/42) of 2 to 3 mm women(P<0.05).According to Spearman analysis, the scar tissue thickness was positively correlated with the success rate of vaginal trials(P<0.05).Conclusion The thickness of scar tissue in the lower part of the uterus is an independent influencing factor for the successful vaginal delivery of women undergoing cesarean scar pregnancy and vaginal pregnancy. It is closely related to the success rate of vaginal delivery.

关 键 词：剖宫产 瘢痕子宫 阴道试产 妊娠 

分 类 号：R713[医药卫生—妇产科学]