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目的研究瘢痕子宫妊娠晚期子宫前壁厚度与分娩方式的相关性。方法选取2015年1月-12月诸暨市中心医院收治的瘢痕子宫再次妊娠晚期孕妇,随机分为观察组和对照组,每组64例。对照组行经腹超声检查,观察组行经腹部超声联合经会阴超声检查,比较两组子宫下段瘢痕厚度、分娩结局、术中出血和缩宫素用量。结果观察组子宫前壁下段瘢痕显影率高于对照组(P<0.05),观察组术中出血、缩宫素用量明显低于对照组,两组比较,差异有统计学意义(P<0.05)。结论详细了解孕妇剖宫产瘢痕部位愈合情况,能帮助临床医生选择更合适的分娩方式,减少母婴并发症的发生。
Objective To study the correlation between uterine anterior uterine wall thickness and mode of delivery in scar pregnancy. Methods Pregnant women with scar pregnancy and uterus again from January 2015 to December in Zhuji Central Hospital were randomly divided into observation group and control group, with 64 cases in each group. In the control group, the abdominal ultrasonography was performed. The observation group was subjected to abdominal ultrasound combined with transperineal ultrasound to compare the thickness of the lower uterine scar, delivery outcome, intraoperative bleeding and oxytocin dosage. Results The rate of development of scar in the anterior segment of the anterior wall of the observation group was significantly higher than that of the control group (P <0.05). The intraoperative bleeding and the amount of oxytocin in the observation group were significantly lower than those in the control group. There was significant difference between the two groups (P <0.05) . Conclusions A detailed understanding of cesarean scar pregnancy in pregnant women, can help clinicians choose a more appropriate mode of delivery, reduce the incidence of maternal and child complications.