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目的探讨瘢痕子宫二次剖宫产与非瘢痕子宫产妇剖宫产手术相关并发症的差异,进一步了解瘢痕子宫二次剖宫产手术的风险性,从而降低由瘢痕子宫造成的高剖宫产率。方法回顾性分析近3年来277例行剖宫产产妇的并发症发生情况,其中实验组为瘢痕子宫产妇行二次剖宫产125例,对照组为同期非瘢痕子宫产妇剖宫产152例,对比两组产妇术后并发症情况。结果瘢痕子宫产妇二次剖宫产中出现盆腹腔粘连、子宫破裂、产后出血、产后感染以及前置胎盘并发症的发生率均高于非瘢痕子宫剖宫产产妇,且除胎盘植入外差异均有统计学意义(P<0.05)。结论两组剖宫产产妇均出现并发症,且瘢痕子宫产妇二次行剖宫产出现并发症的发生率显著增高,所以临床上应严格掌握首次剖宫产的指征,同时产科医生应高度重视瘢痕子宫产妇二次行剖宫产。
Objective To investigate the differences of complications related to cesarean section between scar cesarean section and non-cicatrical uterine cesarean section to further understand the risk of secondary cesarean section surgery and reduce the high cesarean section rate caused by scarring uterus . Methods A retrospective analysis of 277 cases of cesarean section in recent 3 years the incidence of complications, including experimental group of scar uterine maternal 125 cases of second cesarean section in the control group for the same period non-scar uterus 152 cases of cesarean section, Comparisons between two groups of maternal complications. Results The incidence of pelvic adhesions, uterine rupture, postpartum hemorrhage, postpartum infection and placenta previa in second cesarean section of scarring uterus was higher than that of non-scarring uterine cesarean section except placenta All were statistically significant (P <0.05). Conclusions Both cesarean section maternal complications occurred in both groups, and the incidence of secondary cesarean section in scar maternal women was significantly higher. Therefore, the indications for the first cesarean section should be strictly controlled in clinic and the obstetricians should be highly Emphasis on scar maternal secondary cesarean section.