瘢痕子宫再妊娠产妇经阴道娩45例临床分析.docVIP

瘢痕子宫再妊娠产妇经阴道分娩45例临床分析 　　[摘要] 目的 探讨瘢痕子宫再妊娠孕产妇经阴道分娩的安全性及要点。 方法 从本院2011年9月～2013年9月收治的瘢痕子宫再妊娠孕产妇中随机选择45例进行研究，设为观察组，并选择45例非瘢痕子宫再妊娠孕产妇设为对照组，观察两组的经阴道分娩情况。 结果 观察组分娩时的出血量高于对照组，产程时间和住院时间均长于对照组，但差异均无统计学意义（均P0.05）。观察组的阴道分娩成功率低于对照组，术后并发症发生率高于对照组，但差异均无统计学意义（均P0.05）。 结论 对于瘢痕子宫再妊娠产妇，可以选择经阴道分娩，但应做好相应的检查和监测工作，以提高分娩的安全性。 中国论文网 /6/viewhtm　　[关键词] 瘢痕子宫；妊娠；阴道分娩；安全性 　　[中图分类号] R714.3 [文献标识码] B [文章编号] 1673-9701（2015）29-0048-03 　　Analysis of vaginal delivery in pregnant women with scar uterus 　　MA Yongping 　　Department of Gynecology and Obstetrics，the First Hospital of Xiamen City， Xiamen 361003， China 　　[Abstract] Objective To explore the security and key pointst of uterine scar pregnancy in pregnant women with vaginal delivery. Methods 45 cases of maternal pregnancy uterine scar in our hospital from September 2011 to September 2013 were selected as the observation group. And 45 cases of maternal pregnancy non scar uterus were selected as the control group. The vaginal delivery of the two groups were observed and compared. Results The amount of bleeding during childbirth of the observation group was higher than the control group，the labor time and hospitalization time were longer than that of the control group，but there was no significant difference（P0.05）. The observation group of vaginal delivery success rate was lower than the control group，the incidence of postoperative complications was higher than the control group， but the difference was not significant（P0.05）. Conclusion There is a certain degree of security uterine scar pregnancy maternal vaginal delivery，but it should pay attention of the relevant points. 　　[Key words] Uterine scar； Pregnancy； Vaginal delivery； Safety 　　近年来剖宫产率越来越高，导致瘢痕子宫的发生率不断增加[1]。但对于子宫瘢痕妊娠的产妇，行剖宫产后，再次妊娠若通过阴道分娩，有助于减少母体病率，如产褥热、子宫内膜炎等，同时还可减少新生儿湿肺以及远期并发症，还能降低医疗费用[8]。因此，临床要采取积极的治疗措施，以提高子宫瘢痕妊娠孕产妇的阴道分娩率。本研究笔者从本院2011年9月～2013年9月收治的瘢痕子宫再妊娠孕产妇中随机选择45例进行研究，旨在探讨瘢痕子宫再妊娠孕产妇经阴道分娩的安全性，现报道如下。 　　1 资料与方法 　　1.1 临床资料 　　入组的为2011年9月～2013年9月45例瘢痕子宫再妊娠产妇，孕产妇年龄23～39岁，平均（30.9±3.