剖宫产瘢痕缺陷的影响因素及自愈性研究

发布时间：2017-12-31 15:05

本文关键词：剖宫产瘢痕缺陷的影响因素及自愈性研究　出处：《中国全科医学》2016年34期 　论文类型：期刊论文

【摘要】：目的探讨剖宫产瘢痕缺陷(CSD)的影响因素及自愈性。方法选取2015年1—11月在青岛市妇女儿童医院行足月剖宫产的产妇461例。分别于产后6~8周和产后6个月对相应产妇进行经阴道彩色多普勒超声检查,根据两次检查结果,将纳入产妇分为瘢痕正常组(n=311)、可疑瘢痕缺陷组(n=102)、瘢痕缺陷组(n=48);根据缺陷处残留肌层厚度,将瘢痕缺陷组进一步分为轻度瘢痕缺陷组(n=42)、重度瘢痕缺陷组(n=6)。收集所有产妇的临床资料,探讨CSD的影响因素及自愈性。结果纳入产妇的CSD发生率为10.4%(48/461),自愈率为68.0%(102/150)。瘢痕正常组、可疑瘢痕缺陷组、瘢痕缺陷组患者剖宫产次数、喂养方式比较,差异有统计学意义(P0.05);剖宫产孕周比较,差异无统计学意义(P0.05)。轻度瘢痕缺陷组、重度瘢痕缺陷组患者剖宫产次数比较,差异有统计学意义(P0.05);剖宫产孕周、喂养方式比较,差异无统计学意义(P0.05)。多因素Logistic回归分析结果显示,剖宫产次数、喂养方式是CSD的影响因素,差异有统计学意义(P0.05)。结论剖宫产后短期内CSD有自愈可能性,多次剖宫产及非纯母乳喂养可增加CSD风险,多次剖宫产可能会加重瘢痕缺陷程度。
[Abstract]:Objective to investigate the cesarean section scar defect (CSD) factors and self-healing. Methods from 2015 1 to November in Qingdao women and children's Hospital of full-term cesarean section in 461 cases. Respectively after 6~8 weeks and 6 months postpartum in the corresponding maternal transvaginal color Doppler ultrasound examination, according to the two examination results will be incorporated into the scar were divided into normal group (n=311), suspicious group (n=102), scar scar defect group (n=48); according to the defects of residual muscle thickness, the scar defect group was further divided into mild scar defect group (n=42), severe scar defect group (n=6) clinical data collection. All women, explore the influence factors of CSD and self-healing. Results into the maternal incidence rate of CSD was 10.4% (48/461), the healing rate was 68% (102/150). The normal scar group, suspicious scar defect group, scar defect patients the number of cesarean section, feeding way of comparison, the difference was statistically Statistically significant (P0.05); cesarean section pregnancy comparison, no statistically significant difference (P0.05). Mild scar defect group, more severe scar defects in patients with cesarean section number, the difference was statistically significant (P0.05); cesarean section pregnancy, feeding way of comparison, no significant difference (P0.05). Multivariate Logistic regression analysis showed that the number of cesarean section, feeding way and influencing factors of CSD, the difference was statistically significant (P0.05). Conclusion the cesarean section in the short term CSD to heal the possibility of cesarean section and multiple, non exclusive breastfeeding can increase the risk of CSD, repeated cesarean section may aggravate scar defect the degree.

【作者单位】：山东省青岛市妇女儿童医院妇保科;
【分类号】：R719.8
【正文快照】： 剖宫产瘢痕缺陷(CSD)又称剖宫产后子宫切口瘢残留肌层厚度,将瘢痕缺陷组进一步分为轻度瘢痕缺陷痕憩室,是指剖宫产切口部位肌层薄弱,局部不连续,组(n=42)、重度瘢痕缺陷组(n=6)。收集所有产妇多数可形成囊袋状结构,与宫腔相通[1]。近年来,我国的临床资料,探讨CSD的影响因素及

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