瘢痕子宫患者再次妊娠分娩方式对比分析.docVIP

瘢痕子宫患者再次妊娠分娩方式对比分析 　　【摘要】 目的：观察瘢痕子宫再次妊娠者临床不同分娩方式的分娩结果。方法：本次研究对象选取笔者所在医院于2015年4月-2017年1月收治的31例采用阴道分娩瘢痕子宫妊娠者作为观察组。将同期笔者所在医院47例采用剖宫产手术瘢痕子宫妊娠患者作为对照组。比较两种分娩方式对产妇、新生儿的影响，统计阴道分娩成功率及分娩后并发症情况。结果：观察组阴道分娩成功率为87.1%，观察组较对照组出血量少、住院时间短、分娩时间长，差异有统计学意义（P0.05），观察组分娩后并发症发生率为7.4%，对照组??21.3%，观察组并发症少，差异有统计学意义（P0.05）。结论：阴道分娩对孕妇损伤小、术后并发症少，因此瘢痕子宫再次妊娠者若产前检查符合阴道引产指征，可先行阴道试产。 　　【关键词】 再次妊娠； 分娩方式； 瘢痕子宫 　　doi：10.14033/j.cnki.cfmr.2018.8.071 文献标识码 B 文章编号 1674-6805（2018）08-0141-03 　　An Analysis of Delivery Modes in Subsequent Pregnancy Women with Scarred Uterus/HE Xiaodan.//Chinese and Foreign Medical Research，2018，16（8）：141-143 　　【Abstract】 Objective：To observe the different delivery modes in subsequent pregnancy women with scarred uterus.Method：78 scarred uterus patients of receiving the vaginal delivery from April 2015 to January 2017 in our hospital were selected （observation group）.47 scarred uterus patients of receiving the Cesarean section were selected （control group）. After delivery，the maternal and neonatal conditions，success rate of vaginal delivery and incidence rate of complications were observed.Result：The success rate of vaginal delivery was 87.1% in the observation group.The observation group were featured as fewer bleeding volume，shorter hospitalization time and longer delivery time， had significant difference among groups（P0.05）， the incidence rate of complications was 7.4% in the observation group and 21.3% in the control group，had significant difference among two groups（P0.05）.Conclusion：The vaginal delivery brings about the minimal trauma and fewer complications.Therefore，the vaginal delivery can be primarily recommended as long as their prenatal examination results conform to the vaginal labor induction indications. 　　【Key words】 Subsequent pregnancy； Delivery mode； Scarred uterus 　　First-author’s address：The People’s Hospital of Jiexi County，Jiexi 515400，China 　　女性瘢痕子宫易在剖宫产、肌瘤剔除等处理后形成，有数据显示，剖宫产是造成女性瘢痕子宫的主要因素，且近几年由于临床剖宫产居高不下，瘢痕子宫再次妊娠发生率上升。但瘢痕子宫再次妊娠临床分娩风险极高，产妇在分娩过程中易出现