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目的探讨瘢痕子宫再妊娠的分娩方式。方法回顾分析91例患者的临床资料。结果 91例瘢痕子宫妊娠阴道试产62例,试产成功39例,其中胎吸助产2例,臀牵引术2例;试产中出现先兆子宫破裂1例,胎儿宫内窘迫5例,继发宫缩乏力5例,持续性枕后位2例,放弃试产4例,均改行剖宫产。两组产后出血量差异无统计学意义(P>0.05);两组新生儿平均体重差异无统计学意义(P>0.05);两组住院天数差异有显著性意义(P<0.01)。结论瘢痕子宫妊娠后并非剖宫产的绝对指征,严密监护下阴道试产是安全的。
Objective To investigate the delivery mode of uterine scar pregnancy. Methods The clinical data of 91 patients were retrospectively analyzed. Results 91 cases of uterine pregnancy pregnancy test 62 cases of vaginal pregnancy, trial success in 39 cases, including 2 cases of fetal abortion, hip traction in 2 cases; pilot production of threatened uterine rupture in 1 case, 5 cases of fetal distress, followed by 5 cases of uterine atresia, persistent occiput posterior position in 2 cases, give up trial production in 4 cases, were converted to cesarean section. There was no significant difference in postpartum hemorrhage between the two groups (P> 0.05). There was no significant difference in average body weight between the two groups (P> 0.05). There was significant difference between the two groups in the number of days of hospitalization (P <0.01). Conclusion The uterus scar pregnancy is not an absolute indication of cesarean section, vaginal trial under close supervision is safe.