疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产的临床对比.docVIP

精品论文 参考文献 疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产的临床对比 王晓燕 金淑会 鲍二 　　江苏省新沂市妇幼保健所 221400 　　摘要：目的：对比研究疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产的临床效果。方法：本次研究对象为2013年1月~2013年12月在我院进行剖腹产手术的481例产妇，其中疤痕子宫再次妊娠二次剖宫产产妇189例作为观察组，并选取同期住院的非疤痕子宫剖宫产分娩产妇292例作为对照组，并对比分析2组的相关手术指标及术后情况。结果：经统计分析得出，剖宫产仍是疤痕子宫再次妊娠二次分娩的主要方式,社会因素为其主要原因，2组的差异具备统计学意义（P＜0.05），在2组的脐带绕颈及产程进展异常对比方面，对照组明显高于观察组（P＜0.05），在术中出血量、产后出血、手术时间及产后恶露时续时间方面，观察组明显高于对照组（P＜0.05），在子宫破裂率对比方面，观察组明显高于对照组（P＜0.05）。结论：经我院研究得出，相比于非疤痕子宫妊娠分娩，显然疤痕子宫再次妊娠二次剖宫分娩的风险更高，剖宫产风险较高，基于此，对于无指征的患者不宜进行剖宫产。 　　关键词：分娩；疤痕子宫；剖宫产；安全性 　　The clinical comparison of two cesarean section and non scar uterus cesarean section 　　Abstract: Objective: To compare the clinical effect of the two cesarean section and non scar uterus cesarean section in scar uterus pregnancy. Methods:481 cases of cesarean section in our hospital from January 2013 ~2013 to December, Scar uterus was once again the two cesarean section maternal 189 cases as observation group, and 292 cases of cesarean section in the same period were selected as the control group, and the correlation between the 2 groups were compared and analyzed.Results: by statistical analysis that scar the uterus pregnancy second delivery still to splits the palace production mode and social factors is the main reason that the difference between the two groups has statistical significance (Plt;0.05), in two groups of umbilical cord around neck and production process of abnormal contrast, control group was significantly higher than that of the observation group (Plt;0.05), in intraoperative bleeding, postpartum hemorrhage, operation time and postpartum lochia after time aspect, the observation group was significantly higher than that of control group (Plt;0.05). In uterine rupture rate comparison, the observation group was significantly higher than that of the control group (Plt;0.05). Conclusion: compared with non scarred uterine pregnancy, it is obvious that the risk of cesarean delivery is higher and the risk of cesarean section is higher than that of