疤痕子宫再次妊娠经阴道分娩的可行性分析及临床效果探讨  

Feasibility Analysis and Clinical Effect of Scar Pregnancy in the Second Pregnancy

作　　者：姜小华 张志中[1] 冯亚娟[1] JIANG Xiao-hua;ZHANG Zhi-zhong;FENG Ya-juan(Department of Obstetrics,Taizhou Second People's Hospital,Taizhou,Jiangsu Province,225300 China)

机构地区：[1]泰州市第二人民医院产科,江苏泰州225300

出　　处：《中外医疗》2020年第19期47-49,共3页China & Foreign Medical Treatment

摘　　要：目的分析疤痕子宫再次妊娠经阴道分娩的可行性以及临床效果。方法方便选取该院2016年1月—2019年6月收治的78名产妇,根据产妇是否存在疤痕子宫分为疤痕子宫再次妊娠组(以下简称疤痕子宫组)和非疤痕子宫组,每组39名。分析两组产妇总产程时间、产时出血量、住院时间、分娩情况和并发症情况。结果疤痕子宫组成功分娩率92.31%与非疤痕子宫组的97.44%对比差异无统计学意义(χ^2=1.054,P>0.05);非疤痕子宫组住院时间(5.64±1.37)d相对于疤痕子宫组住院时间(6.10±1.43)d少,组间差异有统计学意义(t=8.060,P<0.05);非疤痕子宫组产时出血量(250.33±25.38)mL、总产程时间(8.14±3.53)h与疤痕子宫组的产时出血量(249.98±24.02)mL、总产程时间(8.23±3.67)h对比差异无统计学意义(t=0.210、0.430,P>0.05);非疤痕子宫组并发症总发生率为7.69%低于疤痕子宫组的17.95%,组间差异有统计学意义(χ^2=6.835,P<0.05)。结论疤痕子宫再次妊娠经阴道分娩的可行性较为理想,安全性也较高,能够降低产妇的痛苦,减少产妇再次进行剖宫产几率和手术并发症。Objective To analyze the feasibility and clinical effect of the second pregnancy of scar uterus through vaginal delivery.Methods Seventy-eight women who were admitted to the hospital from January 2016 to June 2019 were convenient selected.According to the presence of scarred uterus,the women were divided into a scarred uterine pregnancy group(hereinafter referred to as scarred uterine group)and a non-scarred uterine group,each with 39 cases.The total duration of labor,the amount of bleeding during delivery,the length of hospital stay,delivery conditions and complications were analyzed.Results The rate of successful delivery in the scar uterus group was 92.31%and 97.44%in the non-scar uterus group(χ^2=1.054,P>0.05);the hospital stay in the non-scar uterus group(5.64±1.37)d was relative less than the scar uterus group(6.10±1.43)d,and there was statistical significance difference between the groups(t=8.060,P<0.05);the non-scar uterine group uterine bleeding volume(250.33±25.38)mL,the total labor time(8.14±3.53)h and there was no significant difference between the uterine bleeding in the scar uterus group(249.98±24.02)mL and the total labor time(8.23±3.67)h(t=0.210,0.430,P>0.05);complications occurrence rate in the non-scar uterine group was 7.69%,which was lower than 17.95%in the scar uterus group,with statistical significance difference between the groups(χ^2=6.835,P<0.05).Conclusion The fetus of scarred uterine pregnancy and vaginal delivery is more ideal,and the safety is higher.It can reduce the pain of the mother,reduce the chance of the mother undergoing cesarean section again,and the surgical complications.

关 键 词：疤痕子宫 再次妊娠 阴道分娩 可行性 

分 类 号：R714.4[医药卫生—妇产科学]