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目的探讨瘢痕子宫再次剖宫产并发症情况,为降低瘢痕子宫高剖宫产率提供参考。方法选取2011年7月至2013年7月开封市禹王台区医院接收的78例瘢痕子宫再次妊娠且均接受再次剖宫产的产妇作为观察组,选取同期75例非瘢痕子宫且接受剖宫产的产妇作为对照组,观察并比较2组产后并发症发生情况。结果社会因素(47.4%)和胎儿窘迫(25.6%)是瘢痕子宫再次妊娠产妇选择剖宫产的主要因素。观察组术后盆腹腔粘连、产后出血、子宫破裂和胎盘植入发生率均明显高于对照组(P<0.05)。结论瘢痕子宫再次剖宫产并发症明显多于非瘢痕子宫剖宫产,分娩危险大。社会因素是瘢痕子宫产妇选择再次剖宫产的主要因素,建议对该类产妇进行干预,引导其遵循分娩指证选择合适的分娩方式,尽量减少再次剖宫产,提高阴道分娩率。
Objective To investigate the complications of scarring uterine cesarean section again and provide reference for reducing the high rate of cesarean section. Methods From July 2011 to July 2013, Kaifeng City, Yuwangtai District Hospital received 78 cases of uterine uterine scar pregnancy and re-cesarean section were taken as the observation group, select the same period, 75 cases of non-scarring uterus and cesarean section Produced maternal as a control group, observed and compared postpartum complications in two groups. Results Social factors (47.4%) and fetal distress (25.6%) were the major factors of cesarean section in re-pregnant women with scar uterine pregnancy. Abdominal adhesions, postpartum hemorrhage, the incidence of uterine rupture and placenta accreta in the observation group were significantly higher than those in the control group (P <0.05). Conclusion The complications of scarring uterine cesarean section were significantly more than those of non-scarring uterus. The risk of labor was high. Social factors is the main factor of cesarean section in uterine scar. It is suggested to intervene such maternity women and guide them to choose the appropriate mode of delivery according to the instructions of childbirth, so as to reduce the rate of vaginal delivery again.