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目的探讨剖宫产疤痕子宫后再次妊娠的合理分娩方式。方法对124例疤痕子宫再次妊娠孕妇的分娩方式进行回顾性分析。结果46例阴道试产分娩成功40例,阴道试产成功率86.96%,未发现子宫破裂,产时出血量(281.0±36.2)ml,产程时间为(9.87±1.67)h,新生儿Apgar评分(9.3±0.3);同期自然分娩40例分别为(290.3±31.2)ml、(9.54±1.21)h、(9.2±0.4),两组相比均差异无统计学意义(P>0.05);择期剖宫产组78例。结论临床操作具备相应的条件和掌握好适应证,疤痕子宫足月妊娠在一定条件下实施阴道分娩具有可行性和安全性。
Objective To explore the reasonable mode of delivery after cesarean scar pregnancy again. Methods A retrospective analysis was made on the mode of delivery in 124 pregnant women with scarred uterus. Results 46 cases of vaginal delivery were successfully delivered in 40 cases, the success rate of vaginal trial was 86.96%, no rupture of uterus, the amount of bleeding during labor (281.0 ± 36.2) ml, the duration of labor (9.87 ± 1.67) h, Apgar score 9.3 ± 0.3). The mean spontaneous labor in the same period was (290.3 ± 31.2) ml, (9.54 ± 1.21) h and (9.2 ± 0.4) respectively. There was no significant difference between the two groups (P> 0.05) Palace group of 78 cases. Conclusion Clinical operation with the appropriate conditions and to master the indications, scar pregnancy in full term pregnancy under certain conditions, the feasibility and safety of vaginal delivery.