疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产产妇的临床治疗分析

发布时间：2017-12-31 11:18

本文关键词：疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产产妇的临床治疗分析　出处：《实用妇科内分泌杂志(电子版)》2016年14期 　论文类型：期刊论文

【摘要】：目的探讨疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产产妇的临床治疗分析。方法选取2011年4月~2016年2月我院进行分娩的产妇200例作为研究对象,根据患者以往是否有剖宫产史,将其分为研究组(有剖宫产史)和对照组(无剖宫产史),各100例。对比两组一般资料、手术中出血量、术后24 h出血量及恶露时间。结果两组年龄、剖宫产史及前置胎盘、胎盘粘连情况、手术中出血量、术后24 h出血量及恶露时间比较,差异均有统计学意义(P0.05)。结论疤痕子宫再次妊娠二次剖宫产患者术后出血量多于非疤痕子宫剖宫产者,对于有阴道分娩指征时,可以进行尝试,以减少子宫破裂和术后出血的风险。
[Abstract]:Objective to investigate the clinical treatment of cesarean section and non-scar uterus cesarean section in the second trimester of scar uterus. Methods 200 cases of parturient who were delivered in our hospital from April 2011 to February 2016 were selected. The subject of the study. According to the history of cesarean section, the patients were divided into study group (with cesarean section history) and control group (without cesarean section history of 100 cases each). Results the age, history of cesarean section, placenta previa, placenta adhesion, the amount of bleeding during operation, the amount of bleeding at 24 hours after operation and the time of lochia were compared between the two groups. The difference was statistically significant (P 0.05). Conclusion the amount of blood loss in the second cesarean section of scar uterus is more than that in the non-scar uterus cesarean section, when there are indications of vaginal delivery, it can be tried. To reduce the risk of uterine rupture and postoperative bleeding.
【作者单位】：贵州省黔南州中医院妇产科;
【分类号】：R719.8
【正文快照】： 疤痕子宫是指以往接受过手术后在子宫留下的疤痕,目前随着孕妇营养过剩、巨大儿增加、社会因素,造成疤痕子宫逐年上升。有研究[1]显示2013年WHO发布一份报道指出中国剖宫产率已经超过警戒线的15%,甚至达到有些地区达到50%~70%。而且,目前随着我国二胎政策的放开,使得我国疤痕

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