瘢痕子宫再次妊娠剖宫产术后并发症发生情况分析  

Analysis of the incidence of complications after cesarean section for scar uterus re pregnancy

作　　者：徐海棠 Xu Haitang(Department of Obstetrics and Gynecology,Lianshui County Maternal and Child Health Hospital,Huai'an 223400,China)

机构地区：[1]涟水县妇幼保健院妇产科,江苏淮安223400

出　　处：《实用妇科内分泌电子杂志》2023年第22期48-50,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨瘢痕子宫再次妊娠剖宫产术后并发症发生情况。方法选取本院40名非瘢痕子宫再次妊娠剖宫产产妇为对照组,40名瘢痕子宫再次妊娠剖宫产产妇为探讨组,比较两组的手术情况、盆腹腔粘连及并发症发生情况,另根据初次剖宫产切口类型将探讨组产妇分为纵切口组与横切口组,比较两组的手术情况与盆腹腔粘连率。结果探讨组手术时间长于对照组,术中出血量、术后出血量多于对照组,差异有统计学意义(P<0.05);探讨组并发症发生率为57.50%,显著高于对照组的5.00%,差异有统计学意义(P<0.05);横切口组手术时间短于纵切口组,术中出血量、术后出血量、盆腹腔粘连率小于纵切口组,差异有统计学意义(P<0.05)。结论瘢痕子宫再次妊娠剖宫产手术难度大,出血较多,并发症发生风险高,且首次剖宫产切口类型会影响再次剖宫产并发症发生率。Objective To exploring the incidence of complications after cesarean section for scar uterus re pregnancy.Methods 40 non scar uterus re pregnant cesarean section women in our hospital were selected as the control group,and 40 scar uterus re pregnant cesarean section women were selected as the exploration group.The surgical conditions,pelvic and abdominal adhesions,and complications of the two groups were compared.Additionally,the exploration group women were divided into longitudinal incision group and transverse incision group based on the type of initial cesarean section incision.The surgical conditions and pelvic and abdominal adhesions rate of the two groups were compared.Results The surgical time in the exploration group was longer than that in the control group,and the amount of intraoperative and postoperative bleeding was greater than that in the control group,with a statistically significant difference(P<o.05);The incidence of complications in the exploration group was 57.50%,significantly higher than the control group's 5.00%,with a statistically significant difference(P<o.05);The surgical time in the transverse incision group was shorter than that in the longitudinal incision group,and the amount of intraoperative and postoperative bleeding,as well as the rate of pelvic and abdominal adhesions,were lower than those in the longitudinal incision group,with statistically significant differences(P<0.05).Conclusion The difficulty of cesarean section surgery for recurrent pregnancy of scar uterus is high,with more bleeding and a high risk of complications.Moreover,the type of incision for the first cesarean section can affect the incidence of complications for recurrent cesarean section.

关 键 词：瘢痕子宫 剖宫产 再次妊娠 并发症 

分 类 号：R714.22[医药卫生—妇产科学]