瘢痕子宫再次妊娠二次剖宫产与非瘢痕子宫剖宫产的临床分析  

Clinical analysis of second Caesarean section in second pregnancy with cicatricial uterus and non-cicatricial uterus

作　　者：刘南南 Liu Nannan(Department of Obstetrics,Danyang People's Hospital,Danyang 212300,China)

机构地区：[1]丹阳市人民医院产科,江苏丹阳212300

出　　处：《实用妇科内分泌电子杂志》2022年第25期18-20,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究比较瘢痕子宫再次妊娠二次剖宫产与非瘢痕子宫剖宫产的临床效果。方法选取160例接受剖宫产术分娩的产妇,其中瘢痕子宫再次妊娠二次剖宫产产妇80例作为研究组,非瘢痕子宫剖宫产产妇80例作为对照组。观察比较两组产妇剖宫产手术时间、出血量、恶露持续时间、胎盘、子宫异常情况及新生儿健康状况。结果研究组产妇手术时间、产后恶露持续时间均长于对照组,且术中与术后出血量均多于对照组,差异有统计学意义(P<0.05)。研究组胎盘异常情况发生率高于对照组,差异有统计学意义(P<0.05)。研究组子宫异常情况发生率高于对照组,差异有统计学意义(P<0.05)。研究组新生儿窒息率为8.75%,高于对照组的1.25%,差异有统计学意义(P<0.05),两组新生儿Apgar评分比较,差异无统计学意义(P>0.05)。结论瘢痕子宫再次妊娠二次剖宫产产妇较非瘢痕子宫剖宫产产妇的手术时间更长、出血量更多,胎盘与子宫不良情况发生率更高,且新生儿窒息率也更高,故其剖宫产风险较非瘢痕子宫剖宫产产妇高。因此临床对于该类产妇的分娩方式选择需更加慎重,为产妇选择更为安全合理地分娩方式。Objective To compare the clinical effect of second caesarean section in second pregnancy with cicatricial uterus and non-cicatricial uterus.Methods 160 parturients who received cesarean section were selected,among which 80 parturients with cicatricial uterus were selected as the study group and 80 parturients with non-cicatricial uterus were selected as the control group.The operation time of cesarean section,blood loss,lochia duration,placental and uterine abnormalities and newborn health status were observed and compared between the two groups.Results The operation time and postpartum lochia duration in the study group were longer than those in the control group,and the intraoperative and postoperative blood loss were higher than those in the control group,the difference was statistically significant(P<0.05).The incidence of placental abnormality in the study group was higher than that in the control group,and the difference was statistically significant(PV0.05).The incidence of uterine abnormalities in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The neonatal asphyxia rate in the study group was 8.75%higher than that in the control group 1.25%,the difference was statistically significant(PV0.05),but there was no statistically significant difference in Apgar score between the two groups(P>0.05).Conclusion Compared with non-cicatricial cesarean section,women with second cicatricial cesarean section have longer operation time,more blood loss,higher incidence of placental and uterine adverse conditions,and higher neonatal asphyxia rate,so their risk of cesarean section is higher than that of non-cicatricial cesarean section.Therefore,the clinical choice of delivery mode for such parturients needs to be more careful,and more safe and reasonable delivery mode should be selected for parturients.

关 键 词：瘢痕子宫 非瘢痕子宫 妊娠 剖宫产 临床结局 

分 类 号：R719.8[医药卫生—妇产科学]