瘢痕子宫患者再次妊娠分娩的临床研究

发布时间：2018-03-19 01:10

本文选题：瘢痕子宫　切入点：再次妊娠　出处：《中国妇幼保健》2016年22期 　论文类型：期刊论文

【摘要】：目的探讨瘢痕子宫产妇再次妊娠分娩方式的合理选择问题。方法回顾性分析2013年4月-2014年12月该院收治的135例瘢痕子宫再次妊娠产妇的临床资料,根据分娩方式分为阴道分娩组、急诊剖宫产组、择期剖宫产组,比较不同分娩方式的分娩结局情况。另按1∶2比例随机抽取同期在该院分娩的非瘢痕子宫阴道分娩产妇作为对照,并与该研究中瘢痕子宫阴道试产成功产妇的分娩结局进行比较。结果 135例瘢痕子宫患者再次妊娠产妇中选择阴道试产的有59例,其中48例阴道试产成功,试产成功率为81.36%,11例失败后进行急诊剖宫产,其余76例患者行择期剖宫产。阴道分娩组产时出血量及住院天数均显著低于急诊剖宫产组和择期剖宫产组(P0.05);产程时间及新生儿Apgar评分均优于急诊剖宫产组(P0.05),而新生儿Apgar评分与择期剖宫产组比较,差异无统计学意义(P0.05)。48例瘢痕子宫再次妊娠阴道成功分娩者与同期非瘢痕子宫阴道分娩者在产时出血量、产程时间、住院天数及新生儿Apgar评分等方面比较,差异均无统计学意义(P0.05)。结论在严格掌握经阴道分娩指征的前提下,给予瘢痕子宫产妇经阴道分娩的试产机会是安全可行的。
[Abstract]:Objective to discuss the reasonable choice of the mode of repregnancy and delivery in the cicatricial uterus puerpera. Methods the clinical data of 135 cases of pregnant women with secondary pregnancy in the scar uterus from April 2013 to December 2014 were analyzed retrospectively. According to the way of delivery, the pregnant women were divided into three groups: vaginal delivery group, emergency cesarean section group and elective cesarean section group. The results of the study were compared with that of the successful pregnant women with scarred uterus and vagina. Results among 135 pregnant women with scar uterus, 59 women chose vaginal trial delivery, 48 of them were successful in vaginal trial labor. The success rate of trial labor was 81.36% and 11 cases were performed emergency cesarean section after failure. In the other 76 patients, the amount of bleeding at delivery and the length of stay in the vaginal delivery group were significantly lower than those in the emergency cesarean section group and the elective cesarean section group (P0.05), the time of delivery and the Apgar score of the newborn were better than those in the emergency caesarean section group (P0.05), while the neo-cesarean section group was better than that in the emergency caesarean section group (P 0.05). The Apgar score of newborn was compared with that of elective cesarean section. There was no significant difference in blood loss, labor duration, hospital stay and Apgar score between 48 cases of successful vaginal delivery of scarred uterus and those of non-scar uterus and vagina in the same period. Conclusion under the premise of strictly mastering the indications of vaginal delivery, it is safe and feasible to give scar uterus women the chance of vaginal delivery.
【作者单位】：东南大学医学院附属盐城医院妇产科;
【分类号】：R714.4

【相似文献】