瘢痕子宫妊娠重复剖宫产并发症的临床分析

发布时间：2018-01-13 14:37

本文关键词：瘢痕子宫妊娠重复剖宫产并发症的临床分析　出处：《中西医结合心血管病电子杂志》2016年32期 　论文类型：期刊论文

【摘要】：目的对瘢痕子宫妊娠重复剖宫产产妇出现的并发症情况进行分析。方法选择我院收治的二次妊娠初次剖宫产产妇和瘢痕子宫妊娠再次剖宫产产妇各62例,分别定义为对照组和研究组。对比两组研究对象在剖宫产手术围术期内出现的并发症情况、剖宫产手术后住院治疗时间。结果研究组研究对象在剖宫产手术的围术期内出现子宫破裂、前置胎盘、盆腹腔黏连、胎盘植入/粘连、产后出血等并发症的人数明显多于对照组,组间差异显著(P0.05);剖宫产手术操作时间、术后住院治疗时间明显长于对照组,组间差异显著(P0.05);剖宫产手术操作期间的出血量明显多于对照组,组间差异显著(P0.05)。结论瘢痕子宫妊娠重复剖宫产产妇在围手术期内出现并发症的可能性较大,在产科适当降低剖宫产率对于保证产妇和新生儿健康具有积极的促进作用。
[Abstract]:Objective to analyze the complications of repeated cesarean section in cicatricial uterine pregnancy. Methods 62 cases of the first cesarean section of secondary pregnancy and 62 cases of the second cesarean section of scarred uterine pregnancy were selected in our hospital. The two groups were defined as the control group and the study group respectively. The complications of the two groups during the perioperative period of cesarean section were compared. Results during the perioperative period of cesarean section, the study group had uterine rupture, placenta previa, pelvic celiac adhesion, placenta accreta / adhesion. The number of complications such as postpartum hemorrhage was significantly higher than that of the control group (P 0.05). The operative time of cesarean section and the time of hospitalization were significantly longer than those of the control group (P 0.05). The amount of bleeding during cesarean section was significantly higher than that in the control group (P 0.05). Conclusion the possibility of complications during the perioperative period of cesarean section for women with repeated cesarean section in cicatricial pregnancy is higher than that in the control group. A proper reduction in cesarean section rate in obstetrics plays a positive role in ensuring maternal and newborn health.
【作者单位】：于都县人民医院妇产科;
【分类号】：R719.8
【正文快照】： 瘢痕子宫女性在妊娠的时候,胚胎可能在创伤瘢痕的位置发生着床,再次实施重复性的剖宫产,出现盆腹腔粘连、胎盘粘连、子宫破裂、产后出血、前置胎盘等相关并发症的可能性会明显加大,甚至需要对子宫实施切除处理,对广大产妇和新生儿的生命安全造成了严重的威胁[1]。本次对瘢痕子

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