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目的探讨剖宫产术后瘢痕子宫再次足月妊娠经阴道分娩的可行性。方法选取2012年8月至2014年8月郑州大学第三附属医院收治的78例瘢痕子宫再次妊娠产妇作为研究对象,根据分娩方式选择分为剖宫产组和正常分娩组,比较2组分娩有效率及不良反应情况。结果正常分娩组平均出血量多于对照组,新生儿1min Apgar评分则明显高于对照组(P<0.05),组间对比差异有统计学意义。40例选择经阴道分娩,成功24例,成功率60.0%。结论在掌握剖宫产术后瘢痕子宫经阴道分娩适应症的情况下,瘢痕子宫再次妊娠经阴道分娩是可行的。
Objective To investigate the feasibility of transvaginal delivery of full-term pregnancy after cesarean scar surgery. Methods From August 2012 to August 2014, 78 cases of uterine scar pregnancy were treated in the Third Affiliated Hospital of Zhengzhou University. According to mode of delivery, the patients were divided into cesarean section group and normal delivery group. Efficiency and adverse reactions. Results The average amount of bleeding in the normal delivery group was higher than that in the control group. The Apgar score at 1 minute in neonates was significantly higher than that in the control group (P <0.05). The difference between the two groups was statistically significant. 40 cases of vaginal delivery, 24 cases of success, the success rate of 60.0%. Conclusions In the case of transvaginal cesarean scar delivery after cesarean delivery, vaginal delivery of scar pregnancy is feasible.