CAJ | 학술논문

目的观察分析瘢痕子宫的分娩结局,总结其相关因素和临床意义.方法选取我院2006年5月至2011年5月收治的948例瘢痕子宫孕妇,设为观察组,再选取同期948例非瘢痕子宫孕妇,设为对照组,观察比较两组孕妇的分娩结局.结果在众多剖宫产因素中,近3年以社会因素所占剖宫产指征的比例最高,与其它因素比较存在显著差异(P＜0.05).两组孕妇的手术时间、术中出血量及剖宫产率、并发症发生率比较存在显著差异(P＜0.05).观察组手术时间(132±105)min,长于对照组的(62±21)min;观察组术中出血量(3524±3108)ml,高于对照组的(757±568)ml.结论瘢痕子宫再次妊娠会明显增加再次剖宫产率及分娩后并发症发生率,危险性明显增高；严格把握剖宫产指征,减少社会因素剖宫产,对减少瘢痕子宫再次妊娠有非常重要的临床意义.
목적 관찰분석반흔자궁적분면결국,총결기상관인소화림상의의.방법 선취아원2006년5월지2011년5월수치적948례반흔자궁잉부,설위관찰조,재선취동기948례비반흔자궁잉부,설위대조조,관찰비교량조잉부적분면결국.결과 재음다부궁산인소중,근3년이사회인소소점부궁산지정적비례최고,여기타인소비교존재현저차이(P＜0.05).량조잉부적수술시간、술중출혈량급부궁산솔、병발증발생솔비교존재현저차이(P＜0.05).관찰조수술시간(132±105)min,장우대조조적(62±21)min;관찰조술중출혈량(3524±3108)ml,고우대조조적(757±568)ml.결론 반흔자궁재차임신회명현증가재차부궁산솔급분면후병발증발생솔,위험성명현증고；엄격파악부궁산지정,감소사회인소부궁산,대감소반흔자궁재차임신유비상중요적림상의의.
Objective To observe and analyze the uterine scar pregnancy outcome,summarize the related factors and the clinical significance.Methods In our hospital from May 2006 to May 2011,948 pregnant women with cicatricial uterus were selected as the observation group,and then 948 cases of nonescar uterus pregnant women at the same period,as the control group,the delivery outcomes of two groups were observed and compared.Results In the numerous factors of cesarean section in recent 3 years,social factors accounted for the highest proportion in the cesarean section,compared to other factors existed there was statistical significant difference (P＜0.05).The operation time and blood loss during operation in two groups also showed statistical significant difference (P＜0.05),the cesarean section rate and complication rate in both groups had statistical significant difference (P＜0.05).Conclusions Uterine scar pregnancy will obviously increase cesarean section rate and complications after childbirth,the risk increased significantly; the indications for cesarean section should be strictly grasped,social factors cesarean section needs to be reduced,which has verv important clinical significance in the reduction of uterine scar pregnancy.