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目的对比分析瘢痕子宫妊娠重复剖宫产的并发症,探讨控制非医学指征剖宫产,降低剖宫产率,保障育龄妇女生殖健康。方法将瘢痕子宫妊娠重复剖宫产患者149例(研究组)与非医学指征剖宫产患者216例(对照组)的并发症进行对比分析。结果研究组子宫破裂、盆腹腔粘连、胎盘植入/粘连、前置胎盘、产后出血发生率与对照组比较,差异均有统计学意义(P<0.05);而术后切口愈合不良发生率两组比较差异无统计学意义(P>0.05)。结论瘢痕子宫妊娠重复剖宫产的并发症显著增多,所以应严格控制非医学指征剖宫产,降低剖宫产率,提高产科质量,保障育龄妇女生殖健康。
Objective To compare and analyze the complications of repeated cesarean section in scar pregnancy and explore the control of non-medical cesarean section, reduce the rate of cesarean section and protect the reproductive health of women of reproductive age. Methods Comparisons were made between 149 cases of uterine pregnancy with repeated uterine pregnancy (study group) and 216 cases of non-medical indication of cesarean section (control group). Results The incidence of uterine rupture, pelvic adhesions, placenta accreta / placenta accreta, placenta previa and postpartum hemorrhage in the study group were significantly different from those in the control group (P <0.05) There was no significant difference between the two groups (P> 0.05). Conclusions The complications of repeated cesarean section in uterine scar pregnancy are significantly increased. Therefore, it is necessary to strictly control non-medical indications for cesarean section, reduce the rate of cesarean section, improve the quality of obstetrics and protect the reproductive health of women of reproductive age.