瘢痕子宫再次妊娠产妇剖宫产术后发生盆腹腔黏连状况分析  

Analysis of Pelvic and Abdominal Adhesion in Re-pregnant Women with Scar Uterus after Cesarean Section

作　　者：李明霞 毛红莉 李燕波 LI Ming-xia;MAo Hong-li;LI Yan-bo(Department of Obstetrics and Gynecology,Xinyang Medical District,99oth Hospital of Joint Logistics Support Force,Xinyang 464200,China)

机构地区：[1]联勤保障部队第九九○医院信阳医疗区妇产科,信阳464200

出　　处：《四川解剖学杂志》2022年第2期47-49,73,共4页Sichuan Journal of Anatomy

摘　　要：目的:观察瘢痕子宫再次妊娠产妇剖宫产术后盆腹腔黏连发生状况,并分析可能导致盆腹腔黏连发生的影响因素.方法:选择2019年1月至2020年11月于本院行剖宫产的瘢痕子宫再次妊娠产妇216例,观察产妇产后随访6个月期间盆腹腔黏连发生情况并分组,分为黏连组与无黏连组.调查并比较两组临床资料,分析瘢痕子宫再次妊娠产妇剖宫产术后发生盆腹腔黏连的影响因素.结果:随访6个月中,216例产妇中46例发生盆腹腔黏连,占21.30%;黏连组本次剖宫产切口为横切口、本次生产距前次剖宫产时间<2年占比高于无黏连组,差异有统计学意义(P<0.05);经Logistic回归分析结果显示,本次剖宫产采用横切口、本次生产距前次剖宫产时间<2年、本次剖宫产切口采用单层缝合为瘢痕子宫再次妊娠产妇剖宫产术后发生盆腹腔黏连的影响因素(P<0.05).结论:本次剖宫产采用横切口、本次生产距前次剖宫产时间<2年、本次剖宫产切口采用单层缝合为瘢痕子宫再次妊娠产妇剖宫产术后发生盆腹腔黏连的影响因素.Objective:To observe the occurrence of pelvic and abdominal adhesion after cesarean section in re-pregnant women with scar uterus,and to analyze the influencing factors that may lead to pelvic and abdominal adhesion.Methods:Two hundred and sixteen pregnant women with scar uterus who underwent cesarean section in our hospital from January 2019 to November 2020 were selected.Observed the occurrence of pelvic and abdominal adhesion during 6 months follow-up for after delivery,and divided them into adhesion group and non adhesion group.The clinical data of the two groups were investigated and compared,and the influencing factors of pelvic and abdominal adhesion after cesarean section in repregnant women with scar uterus were analyzed.Results:After 6 months of follow-up,46 of 216 pregnant women had pelvic and abdominal adhesion,accounting for 21.30%;the proportions of the use of transverse incision in this cesarean section,the time between this production and the previous cesarean section<2 years in the adhesion group were higher than those in the non adhesion group,the difference was statistically significant(P<0.05);through Logistic regression analysis,the results showed that the use of transverse incision in this cesarean section,the time from this production to the previous cesarean section<2 years,and the use of single-layer suture in this cesarean section incision were the influencing factors of pelvic and abdominal adhesion after cesarean section in re-pregnant women with scar uterus(P<0.05).Conclusion:The use of transverse incision in this cesarean section,the time from this production to the previous cesarean section<2 years,and the use of single-layer suture in this cesarean section incision are the influencing factors of pelvic and abdominal adhesion after cesarean section in re-pregnant women with scar uterus.

关 键 词：瘢痕子宫 剖宫产 盆腹腔黏连 切口方式 

分 类 号：R719.8[医药卫生—妇产科学]