纵隔子宫患者妊娠晚期剖宫产母儿结局分析  

Analysis of Maternal and Infant Outcomes of Septate Uterus in Late Pregnancy by Cesarean Section

作　　者：杨琼[1] 徐晓燕[1] YANG Qiong;XU Xiao-yan(Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,China)

机构地区：[1]华中科技大学同济医学院附属同济医院妇产科,武汉430000

出　　处：《国际妇产科学杂志》2024年第2期181-183,197,共4页Journal of International Obstetrics and Gynecology

摘　　要：目的:分析妊娠晚期行剖宫产术的纵隔子宫患者的母儿结局情况。方法:收集于华中科技大学同济医学院附属同济医院行剖宫产术的≥34周的纵隔子宫孕妇80例作为研究组,选取同期≥34周行剖宫产的正常子宫孕妇80例作为对照组。比较2组孕妇的一般情况、胎盘和胎儿情况、术中出血量和新生儿情况。结果:2组孕妇年龄、孕次、产前体质量、辅助生殖技术助孕、母体合并症、胎盘异常情况、胎膜早破、脐带绕颈2周及以上、术中出血量、新生儿窒息和低出生体质量儿等方面比较,差异无统计学意义(均P>0.05),纵隔子宫组孕妇既往产次、终止妊娠孕周和新生儿出生体质量低于对照组,胎儿臀位比例高于对照组,差异有统计学意义(均P<0.05)。结论:≥34周的纵隔子宫孕妇常常合并胎方位的临床问题,适时终止妊娠并适当采取剖宫产术,母儿结局与子宫正常孕妇相似。Objective:To analysis of maternal and fetal outcome of cesarean section in late pregnancy of the septate uterus.Methods:160 pregnant patients≥34 weeks with cesarean section were collected at Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology.Research group are 80 pregnant pateints with septate uterus,while control group are randomly select 80 pregnant patients with normal uterus.The general condition,placental and fetal condition,intraoperative bleeding and neonatal condition of pregnant women in the two groups were compared.Results:The age,pregnancy times,prenatal body mass,assisted reproduction,maternal complications,placental abnormalities,premature rupture of membranes,umbilical cord around the neck for two cycles or more,intraoperative bleeding,neonatal asphyxia and low birth weight infants are compared between two groups,which show no statistically significant(P>0.05).The number of previous births,gestational weeks and birth weight of newborns in septate uterus group were lower than those in control group,and the proportion of fetal breech position was higher than that in control group,the difference was statistically significant(P<0.05).Conclusions:Pregnant patients with septate uterus≥34 weeks always have clinical issues with fetal position.Appropriate cesarean section can result in a similar maternal and fetal outcome to that of pregnant women with a normal uterus.

关 键 词：子宫 先天畸形 妊娠末期 剖宫产术 超声检查 妊娠结局 

分 类 号：R719.8[医药卫生—妇产科学]