疤痕子宫再次妊娠阴道分娩的可行性临床探究.docVIP

疤痕子宫再次妊娠阴道分娩的可行性临床探究 　　[摘要] 目的 探究疤痕子宫再次妊娠采取阴道分娩的可行性。方法 选取该院于2013年8月―2014年5月间收治的疤痕子宫再次妊娠产妇100例，随机分成对照组50例和观察组50例，对照组采取剖宫产，观察组采取阴道分娩，对比两组产妇最终妊娠结局。结果 对照组50例产妇中皆能成功分娩，观察组50例产妇中，成功实施阴道分娩的有35例，成功率为70%，两组产妇皆无出现子宫破裂情况，差异无统计学意义（P0.05）；两组产妇分娩的时间与母婴存活率对比差异无统计学意义（P0.05）；生产出血量与住院的时间对比，观察组显著优于对照组，差异有统计学意义（P0.05）；两组产妇产后并发症的发生率对照组明显高于观察组，差异有统计学意义（P0.05）。结论 在疤痕子宫后实施阴道分娩具有一定的可行性，但是必须根据产妇的具体情况来选择合理有效的分娩方式，从而降低术后并发症发生率与分娩损伤情况。 　　[关键词] 疤痕子宫；再次妊娠；阴道分娩；可行性探究 　　[中图分类号] R719 [文献标识码] A [文章编号] 1674-0742（2015）03（a）-0038-02 　　Uterine scar pregnancy vaginal delivery again to explore the feasibility of clinical 　　ZHANG Yue 　　The third hospital department of gynaecology and obstetrics of Liaoyang，Liaoyang，Province， 111000 China 　　[Abstract] objective Explore the feasibility of uterine scar again take pregnancy vaginal delivery. Methods： Our hospital between August 2013 to May 2014 were treated again uterine scar pregnancy maternal 100 cases， 50 cases were randomly divided into a control group and a study group of 50 patients in the control group to take cesarean section， the observation group taking vaginal delivery comparing two groups of mothers final outcome of pregnancy. Results The control group of 50 cases of maternal Jieneng successful delivery， the observation group 50 cases of women， the successful implementation of the 35 cases of vaginal delivery， the success rate was 70%， the two groups are no maternal uterine rupture （P 0.05）； time two maternity and maternal survival no significant difference in comparison （P 0.05）； production of bleeding compared with the length of hospital stay， the observation group was significantly better than the control group （P 0.05）； two groups of postpartum complication The incidence was significantly higher than that observed in the control group， the difference was statistically significant （P 0.05）. Conclusion After the implementation of the uterine scar vaginal delivery is feasible， reasonable and effective but must be selected according to th