瘢痕子宫再次妊娠二次剖宫产与非瘢痕子宫剖宫产产妇的手术效果比较  

Comparison of surgical effect of second caesarean section in second pregnancy of scarred uterus and non-scarred uterus

作　　者：于秀娟 Yu Xiujuan(Department of Obstetrics and Gynecology,Central Hospital of Changbai Mountain Protection and Development Zone,Antu 133613,China)

机构地区：[1]长白山保护开发区中心医院妇产科,吉林安图133613

出　　处：《实用妇科内分泌电子杂志》2022年第21期42-44,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 比较瘢痕子宫再次妊娠二次剖宫产与非瘢痕子宫剖宫产产妇的手术效果。方法 将本院接收的48例瘢痕子宫再次妊娠二次剖宫产产妇设为A组,将同期接收的47例非瘢痕子宫剖宫产产妇设为B组。所有产妇均行剖宫产手术,比较两组的手术相关指标、并发症情况及新生儿生理指标。结果 A组产妇手术时间、产后恶露持续时间均长于B组,术中出血量、产后24 h出血量均多于B组,差异有统计学意义(P<0.05)。A组并发症发生率为22.92%,明显高于B组的6.38%,差异有统计学意义(P<0.05)。A组新生儿胆红素水平低于B组,5min Apgar评分高于B组,差异有统计学意义(P<0.05)。结论 瘢痕子宫再次妊娠二次剖宫产产妇及非瘢痕子宫剖宫产产妇均存在一定的分娩风险,但前者的分娩风险更高,其手术时间更长,术后出血量更多,更易发生并发症,故临床应结合产妇实际情况,选择合适的分娩方式,以保证分娩质量。Objective To compare the results of second caesarean section of second pregnancy of scarred uterus with those of non-scarred uterus.Methods 48 women with second caesarean section of scarred uterus received in our hospital were set as group A,and 47 women with non-scarred uterus received during the same period were set as group B.All the parturients underwent cesarean section operation.The operation related indexes,complications and neonatal physiological indexes of the two groups were compared.Results The operative time and postpartum lochia duration in group A were longer than those in group B,and the intraoperative blood loss and postpartum 24 h blood loss were higher than those in group B,the differences were statistically significant(P<0.05).The incidence of complications in group A was 22.92%,which was significantly higher than 6.38%in group B,and the difference was statistically significant(P<0.05).The bilirubin level of neonates in group A was lower than that in group B,and the 5 min Apgar score was higher than that in group B,the differences were statistically significant(P<0.05).Conclusion The second cesarean section of scar uterus pregnancy and non-scar uterus cesarean section have a certain risk of delivery,but the former delivery risk is higher,its operation time is longer,more postoperative blood loss,more likely to occur complications,so clinical should be combined with the actual situation of the women,choose the appropriate delivery mode,to ensure the quality of delivery.

关 键 词：瘢痕子宫再次妊娠 非瘢痕子宫剖宫产 二次剖宫产 

分 类 号：R719.8[医药卫生—妇产科学]