CAJ | 학술논문

目的：探讨分析剖宫产术后瘢痕子宫女性再次妊娠的分娩方式。方法：对2010年2月～2012年2月期间我院收治的164例再次妊娠患者的临床资料进行回顾性分析。在这164例患者中，有剖宫产术后瘢痕子宫再次妊娠患者82例，我们将其分为观察A组、观察B组。观察A组的76例患者进行剖宫产手术，观察B组的6例患者进行阴道分娩。有非剖宫产术后疤痕子宫再次妊娠患者82例，我们将其分为对照A组和对照B组。对照A组的76例患者进行剖宫产手术，对照B组的6例患者进行阴道分娩。生产结束后，我们对这164例患者的相关指标进行对比分析。结果：观察A组患者发生产后出血的例数明显多于对照A组患者，二者相比差异具有显著性（P<0.05）。观察A组患者发生盆腔粘连的例数明显多于对照A组患者，二者相比差异具有显著性（P<0.05）。观察A组患者的产后出血量明显多于观察B组患者，二者相比差异具有显著性（P<0.05）。观察A组患者的住院时间明显多于观察B组患者，二者相比差异具有显著性（P<0.05）。观察B组和对照B组的患者在产后出血量、新生儿窒息、先兆子宫破裂方面的差异不具显著性（P>0.05）。结论：剖宫产术后瘢痕子宫女性再次妊娠并不是其再次进行剖宫产手术的绝对指征，应根据产妇的自身情况为其选择合适的分娩方式。
목적：탐토분석부궁산술후반흔자궁녀성재차임신적분면방식。방법：대2010년2월～2012년2월기간아원수치적164례재차임신환자적림상자료진행회고성분석。재저164례환자중，유부궁산술후반흔자궁재차임신환자82례，아문장기분위관찰A조、관찰B조。관찰A조적76례환자진행부궁산수술，관찰B조적6례환자진행음도분면。유비부궁산술후파흔자궁재차임신환자82례，아문장기분위대조A조화대조B조。대조A조적76례환자진행부궁산수술，대조B조적6례환자진행음도분면。생산결속후，아문대저164례환자적상관지표진행대비분석。결과：관찰A조환자발생산후출혈적례수명현다우대조A조환자，이자상비차이구유현저성（P<0.05）。관찰A조환자발생분강점련적례수명현다우대조A조환자，이자상비차이구유현저성（P<0.05）。관찰A조환자적산후출혈량명현다우관찰B조환자，이자상비차이구유현저성（P<0.05）。관찰A조환자적주원시간명현다우관찰B조환자，이자상비차이구유현저성（P<0.05）。관찰B조화대조B조적환자재산후출혈량、신생인질식、선조자궁파렬방면적차이불구현저성（P>0.05）。결론：부궁산술후반흔자궁녀성재차임신병불시기재차진행부궁산수술적절대지정，응근거산부적자신정황위기선택합괄적분면방식。
Objective: To explore how to rationally choose cesarean uterine scar pregnancy and childbirth way again. Methods: 82 cases of cesarean uterine scar pregnancy, pregnant women, and the observation group A for cesarean section in 76 cases, the observation group B 6 cases of vaginal delivery; and selected non cesarean uterine scar pregnancy, pregnant women, the control group A for cesarean section in 76 cases, control group B 6 cases vaginal delivery. The final results of each delivery and maternal and infant complications were compared and analyzed. Results: the observation group A and control group A in the amount of postpartum bleeding, pelvic adhesion with significant differences, and the P<0.05; the observation group A and group B in postpartum hemorrhage volume, average hospitalization time has significant difference, P<0.05; group B and group B in the amount of postpartum hemorrhage and neonatal asphyxia, and threatened uterine rupture there is no difference in the rate, P>0.05. Conclusion: the absolute mean cesarean uterine scar pregnancy and not the sign, but mainly through operation mode. In the trial production conditions of vaginal delivery with a certain safety. At the same time to ensure the safety of mother and child, but also to avoid the rupture of uterus.