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目的:分析剖宫产术后疤痕子宫再次妊娠分娩方式的选择和分娩的结局。方法:用病例对照的研究方法,通过病例资料和产科分娩登记本,就2014年1月-2015年1月500例在温岭市妇幼保健院分娩的疤痕子宫再次妊娠孕妇临床资料进行回顾性分析、总结。结果:500例疤痕子宫再次妊娠孕妇中符合阴道试产分娩指征者有181例,试产率为36.2%(181/500);有20例阴道试产失败,转剖宫产,阴道试产成功161例,成功率为89.0%(161/181),阴道分娩率为32.2%(161/500);行剖宫产者319例,剖宫产率为63.8%(319/500);疤痕子宫再次妊娠阴道分娩组与剖宫产组比较,在新生儿体重、产妇产后24h出血量、住院天数、住院费用的差异有统计学意义(P<0.05);疤痕子宫再次妊娠阴道分娩组的产后24h出血量、住院天数、平均产程时间、新生儿Apgar评分与同期非疤痕子宫妊娠阴道分娩组差异无统计学意义(P>0.05)。结论:剖宫产术后疤痕子宫再次妊娠孕妇在符合条件下给予阴道试产是一种安全合理的分娩方式。
Objective: To analyze the choice of delivery mode and delivery after cesarean scar pregnancy. Methods: A retrospective analysis of clinical data of 500 pregnant women with scar uterine uterus who were delivered at Wenling Maternal and Child Health Hospital from January 2014 to January 2015 was conducted by means of case-control study and case record and maternity birth register. to sum up. Results: Among the 500 pregnant women with scarred uterus who were pregnant again, there were 181 pregnant women with indications for vaginal delivery. The trial yield was 36.2% (181/500). There were 20 vaginal trial failures and cesarean section and vaginal trial The successful rate was 89.0% (161/181) and vaginal delivery rate was 32.2% (161/500). Cesarean section rate was 63.8% (319/500) Compared with the cesarean section, the weight of the newborn, the amount of bleeding after hospitalization, the number of days of hospitalization and the cost of hospitalization were statistically significant (P <0.05); The uterus of the uterus after pregnancy again The amount of bleeding, length of hospital stay, mean duration of labor, neonatal Apgar score and non-scarring uterine pregnancy vaginal delivery group was no significant difference (P> 0.05). Conclusion: Cesarean scar pregnancy after re-pregnancy of pregnant women under the conditions given vaginal trial is a safe and reasonable mode of delivery.