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目的探讨瘢痕子宫再次妊娠的并发症及分娩结局。方法回顾性分析286例瘢痕子宫再次妊娠孕妇的妊娠分娩资料。结果 286例瘢痕子宫中,再次剖宫产233例,经阴道试产63例,成功53例;前置胎盘、胎盘植入、胎盘粘连、产后出血、先兆子宫破裂发生率明显高于对照组。结论瘢痕子宫再次妊娠风险增加,并发症多,降低剖宫产率,提高剖宫产后阴道分娩率是改善母儿预后的有力措施。
Objective To investigate the complications and delivery outcomes of scar pregnancy again. Methods A retrospective analysis of 286 cases of uterine scar pregnancy again pregnant women of childbirth information. Results Among 286 cases of uterine scar, cesarean section was performed again in 233 cases and vaginal trial in 63 cases, with 53 cases successfully. The incidence of placenta previa, placenta accreta, placenta accreta, postpartum hemorrhage and threatened uterine rupture were significantly higher than those in control group. Conclusion The risk of uterine pregnancy again increased risk of complications, and more to reduce the rate of cesarean section and improve vaginal delivery rate after cesarean section is to improve the prognosis of the powerful measures.