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目的探讨瘢痕子宫再次妊娠分娩方式的选择。方法对84例瘢痕子宫再次妊娠孕妇的分娩方式、分娩结局及母婴情况进行回顾性分析,对阴道分娩与剖宫产分娩的利弊进行对比。结果 84例中40例阴道试产,27例试产成功,成功率67.50%,再次行剖宫产术者57例(67.86%),所有产妇均未发生子宫破裂。两组产妇产后出血量比较差异具有统计学意义(P<0.01),新生儿Apgar评分差异无统计学意义(P>0.05)。结论瘢痕子宫产妇分娩时,掌握好阴道试产适应证,可以阴道试产,阴道分娩成功的产妇产后出血明显减少。
Objective To investigate the choice of delivery mode of scar pregnancy after uterine pregnancy. Methods Reproductive methods, delivery outcomes and maternal and infant status of 84 pregnant women with uterine scar pregnancy were retrospectively analyzed. The pros and cons of vaginal delivery and cesarean delivery were compared. Results Of the 84 cases, 40 cases were vaginal trial, 27 cases were successful trial, the success rate was 67.50%. 57 cases (67.86%) were cesarean section again, and all the women did not have uterine rupture. There was a significant difference in postpartum hemorrhage between the two groups (P <0.01), but there was no significant difference in neonatal Apgar scores (P> 0.05). Conclusion Scar maternal uterus during delivery, to master the vaginal trial production indications, vaginal trial production, vaginal delivery of maternal postpartum hemorrhage was significantly reduced.