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目的探讨疤痕子宫再妊娠分娩方式及临床观察研究。方法对2005年1月至2008年12月92例疤痕子宫再妊娠患者分娩方式进行总结分析。结果92例疤痕子宫再妊娠患者中选择阴道试产74例,选择剖宫产18例。其中择阴道试产74例中试产过程剖宫产18例,阴道分娩56例;阴道试产率80.43%(74/92),试产成功率75.67%(56/74);阴道分娩率60.86%(33/92);剖宫产率48.64%(36/74)。所有剖宫产和阴道分娩均未出现母婴不良结局。结论疤痕子宫妊娠产前对疤痕子宫再次妊娠产妇完善的孕期检查,对前次剖宫产手术情况的详细了解,正确判断试产的适应证和禁忌证,严密观察产程,良好的产时监护及护理,行阴道分娩是可行的。
Objective To investigate the delivery mode and clinical observation of uterine scar pregnancy. Methods From January 2005 to December 2008 92 cases of uterine scar pregnancy were analyzed the mode of delivery. Results Seventy two patients with uterine scar pregnancy were selected for vaginal trial in 74 cases and cesarean section in 18 cases. Among them, 74 cases of vaginal trial were involved in trial production in 18 cases during cesarean section, vaginal delivery 56 cases, vaginal trial 80.43% (74/92), trial success 75.67% (56/74), vaginal delivery 60.86 % (33/92); cesarean section rate was 48.64% (36/74). All cesarean section and vaginal delivery did not appear adverse maternal and child outcomes. Conclusions The scar pregnancy uterus pregnancy prenatal scar pregnancy uterus again pregnant women perfect pregnancy check on the previous cesarean section surgery to understand the situation, the correct judgment trial production of indications and contraindications, strict observation of labor, good maternity care and Nursing, vaginal delivery is feasible.