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目的:探讨疤痕子宫阴道分娩的临床可行性和安全性。方法:2015年4月-2016年4月我院收治的86例疤痕子宫足月分娩产妇为研究组,同期随机选取的非瘢痕子宫选择阴道分娩产妇86例作为对照组。比较阴道试产成功率、产程时间、产后出血量、住院时间、并发症发生率和新生儿Apgar评分。结果:对照组和研究组的阴道试产成功率分别为86.0%和84.9%(P>0.05),无统计学差异。两组患者在产程时间、产后出血量和住院时间上无统计学差异(P>0.05)。两组新生儿均较为健康,在Apgar评分上(P>0.05),无统计学差异。结论:疤痕子宫具有阴道分娩指征者行阴道试产具有较高的安全性与可行性,值得临床推广和使用。
Objective: To investigate the clinical feasibility and safety of scar vaginal delivery. Methods: From April 2015 to April 2016, 86 pregnant women with full-term scar delivery in our hospital were enrolled in this study. Totally 86 cases of non-scarring uterus were chosen as the control group. The success rate of vaginal trial production, labor time, postpartum hemorrhage, hospital stay, complication rate and neonatal Apgar score were compared. Results: The success rate of vaginal trial in control group and study group was 86.0% and 84.9% respectively (P> 0.05), with no significant difference. There was no significant difference in labor time, postpartum hemorrhage and hospital stay between the two groups (P> 0.05). The two groups of newborns were relatively healthy, Apgar score (P> 0.05), no statistical difference. Conclusion: The indications of vaginal delivery in scar-shaped uterus have high safety and feasibility in vaginal trial. It is worthy of clinical promotion and use.