疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产对比研究.docVIP

疤痕子宫再次妊娠二次剖宫产与非疤痕子宫剖宫产对比研究 　　【摘要】目的：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对比情况。方法：选取二次妊娠在我院剖宫产的患者208例，按前次是否接受过剖宫产手术分为两组，将子宫情况、胎盘情况、手术时间以及出血量进行对比分析。结果：观察组先兆子宫破裂发生情况明显比对照组严重；观察组子宫破裂发生情况明显比对照组严重；观察组胎盘植入发生情况明显比对照组严重；观察组前置胎盘发生情况明显比对照组严重；观察组胎盘粘连发生情况明显比对照组严重；观察组出血量明显比对照组多；观察组患者手术时间明显比对照组长，经统计学分析，差异具有统计学意义（P005）。结论：剖宫产手术大大提高了孕妇二次剖宫产的风险，临床上，选择分娩方式一定要慎重。 　　【关键词】疤痕子宫；再次妊娠；二次剖宫产；非疤痕子宫；剖宫产 　　【Abstract】Objective： To study the situations of scar uterine secondary cesarean and non-scar uterine cesarean. Methods： 208 patients with secondary pregnancy in our hospital were selected. According to the cesarean times， they were divided into two groups. The uterus status， placenta， operative time and blood loss were analyzed. Results： The threatened uterine rupture of observation group was obviously more serious than that in the control group； incidence of uterine rupture in observation group was significantly worse than that in the control group； incidence of placenta implantation in observation group was significantly worse than that in the control group； incidence of placenta prevail in observation group was significantly worse than that in the control group； the incidence of adherent placenta in observation group was significantly worse than that in the control group； bleeding in observation group was obviously more than that in the control group； surgery time in observation group was significantly longer than that in the control group. The differences was statistically significant （P005）. Conclusion： Cesarean greatly increases the risk of secondary cesarean； therefore， the mode of delivery must be carefully chosen. 　　【Key words】Uterine scar； Secondary pregnancy； Secondary cesarean section； Non-uterine scar； Cesarean 　　【中图分类号】R719.8【文献标??码】A 　　剖宫产能在短时间内结束分娩，减少产妇疼痛以及各种危险因素对母儿的影响，受到大家的青睐[1-3]。由于人们对剖宫产术的盲目推崇，选择剖宫产的患者越来越多，导致了过度治疗，给患者的健康与经济都带来巨大的威胁。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对比情况，分析并探讨疤痕子宫的孕妇二次妊娠分娩的并发症以及相关风险，对降低盲目推崇导致的剖宫产具有重要意义[4-6]。现随机选取2009年2月至2014年7月期间在我院接受治疗的产妇患者208例进行相关研究，结果满意。现报道如下。 　　1资料与方