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目的分析瘢痕子宫再次妊娠的分娩结局。方法回顾分析我院7年间68例瘢痕子宫产妇的临床资料,与同期入院的非瘢痕子宫的自然分娩及首次剖宫产产妇相比较。结果两组阴道分娩病例的母婴分娩结局比较无显著性差异(P>0.05),再次剖宫产48例与同期首次剖宫产比有手术时间长、出血量多、切口撕裂率较高、切口甲级愈合低、住院时间长的缺点。结论瘢痕子宫在严密监护及掌握适应症的前提下可经阴道分娩,瘢痕子宫再次剖宫产手术难度加大,手术时间延长,术中出血较多,切口甲级愈合率相对较低,故应积极降低剖宫产率,以减少远期并发症的发生。
Objective To analyze the delivery outcome of scar pregnancy again. Methods The clinical data of 68 cases of uterine scar in seven years in our hospital were retrospectively analyzed. Compared with the spontaneous delivery and the first cesarean section in non-scarred uterus hospitalized in the same period. Results There were no significant differences in the delivery outcomes between the two groups in terms of mother-infant delivery (P> 0.05). The second cesarean section and the first cesarean section in the same period had longer operation time, more bleeding and higher incision tear rate , Incision grade A low healing, long hospital stay shortcomings. Conclusion The scar uterus can be vaginally delivered under the close supervision and indications. It is more difficult to perform another cesarean section in the scar uterus. The operation time is prolonged, the intraoperative bleeding is relatively high, and the incision grade A healing rate is relatively low. Therefore, Actively reduce the rate of cesarean section in order to reduce the occurrence of long-term complications.