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目的探讨剖宫产术后瘢痕子宫再妊娠分娩方式的选择。方法对160例剖宫产后再妊娠分娩产妇的临床资料进行回顾性分析。结果 160例剖宫产术后瘢痕子宫再妊娠产妇64例阴道试产,48例试产成功,成功率为75%;剖宫产术后阴道分娩组产妇住院时间、出血量及腹腔粘连发生率与瘢痕子宫再次剖宫产组比较差异均有统计学意义(P<0.05),产褥感染及新生儿窒息发生率两组比较差异无统计学意义。结论剖宫产术后瘢痕子宫不是再次剖宫产手术的绝对指征,对符合阴道试产条件的产妇应提倡阴道试产。
Objective To investigate the choice of delivery mode of uterine scar pregnancy after cesarean section. Methods A retrospective analysis was performed on the clinical data of 160 pregnant women giving birth after cesarean section. Results 160 cases of cesarean scar after uterine re-pregnancy of 64 cases of vaginal delivery trial, 48 cases of trial success, the success rate was 75%; cesarean section postpartum vaginal delivery maternal hospitalization, bleeding and the incidence of abdominal adhesions Compared with scar cesarean section again, the difference was statistically significant (P <0.05), puerperal infection and neonatal asphyxia incidence was no significant difference between the two groups was statistically significant. Conclusion The cesarean scar after surgery is not an absolute indication for cesarean section. Vaginal trial should be advocated for those who meet the conditions of vaginal trial.