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目的:探讨疤痕子宫再次行剖宫产手术的临床风险。方法:选取2013年11月至2014年11月我院收治的60例疤痕子宫再次剖宫产患者为研究对象。回顾性分析60例患者的临床资料,探讨患者在手术中发生的并发症,从而提出应对策略。结果:术中发生盆腔粘连者27例,严重者8例;术中出现大出血者5例,严重大出血者1例;同时,腹壁纵行切开的手术操作的总手术时间明显小于腹壁横向切开操作;另外,60例新生儿中只有2例发生轻度窒息,妊娠结局良好。结论:对疤痕子宫患者再次行剖宫产手术的风险较大,并发症较多,因此我们提倡疤痕子宫剖宫产患者采用自然分娩的分娩方式。
Objective: To investigate the clinical risk of cesarean section again in scar uterus. Methods: From December 2013 to November 2014, 60 cases of scarring uterine cesarean section in our hospital were selected as the research object. The clinical data of 60 patients were retrospectively analyzed to discuss the patients’ complication occurred in the operation, and the coping strategies were put forward. Results: Intraoperative pelvic adhesions in 27 cases, in severe cases in 8 cases; intraoperative bleeding in 5 cases, severe bleeding in 1 case; the same time, abdominal longitudinal incision of the total operation time of operation was significantly less than the abdominal wall transverse incision In addition, only 2 of 60 newborns developed mild asphyxia with good pregnancy outcomes. Conclusion: The risk of repeat cesarean section surgery in patients with scar uterus is greater and there are more complications. Therefore, we advocate the delivery mode of natural childbirth in patients with scar uterine cesarean section.