基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2014年
4期
422-423
,共2页
瘢痕子宫%再次妊娠%分娩方式%母婴结局
瘢痕子宮%再次妊娠%分娩方式%母嬰結跼
반흔자궁%재차임신%분면방식%모영결국
Scarred uterus%Repeated pregnancy%Delivery ways%Outcome of mother and fetus
目的：探讨瘢痕子宫再次妊娠的分娩方式。方法对我院收治的瘢痕子宫住院分娩产妇164例的临床资料进行回顾性分析，就再次剖宫产和经阴道分娩的母婴结局进行观察比较。结果164例产妇中经阴道分娩42例，分娩率为25.61%，成功率为84%，再次剖宫产122例。瘢痕子宫阴道分娩组产后出血量、住院天数明显低于再次剖宫产组（P<0.01），新生儿窒息率比较差异无统计学意义（P>0.05）。结论瘢痕子宫产妇只要符合阴道试产条件，严密监护下行阴道分娩是可行的。
目的：探討瘢痕子宮再次妊娠的分娩方式。方法對我院收治的瘢痕子宮住院分娩產婦164例的臨床資料進行迴顧性分析，就再次剖宮產和經陰道分娩的母嬰結跼進行觀察比較。結果164例產婦中經陰道分娩42例，分娩率為25.61%，成功率為84%，再次剖宮產122例。瘢痕子宮陰道分娩組產後齣血量、住院天數明顯低于再次剖宮產組（P<0.01），新生兒窒息率比較差異無統計學意義（P>0.05）。結論瘢痕子宮產婦隻要符閤陰道試產條件，嚴密鑑護下行陰道分娩是可行的。
목적：탐토반흔자궁재차임신적분면방식。방법대아원수치적반흔자궁주원분면산부164례적림상자료진행회고성분석，취재차부궁산화경음도분면적모영결국진행관찰비교。결과164례산부중경음도분면42례，분면솔위25.61%，성공솔위84%，재차부궁산122례。반흔자궁음도분면조산후출혈량、주원천수명현저우재차부궁산조（P<0.01），신생인질식솔비교차이무통계학의의（P>0.05）。결론반흔자궁산부지요부합음도시산조건，엄밀감호하행음도분면시가행적。
Objective T0 investigate the advantages and disadvantages of the two delivery ways of women with scarred uterus and repeated pregnancy. Methods The clinical data of 164 repeated pregnant women in our hospital with scarred uterus were retrospectively analysed. The data of caesarean section and vaginal delivery cases from those 164 cases have been selected to compare. Results 42 cases of vaginal delivery,the delivery rate was 25.61%, the success ratio was about 84%,122 cases of cesarean section,The group of vaginal delivery with scarred uterus in postpartum hemorrhage rolume,hospital stay were lower than that the group of secondary cesarean section (P<0.01);The neonatal asphyxia rate has no statistic significance (P>0.05). Conclusion Pregnant women with scarred uterus as long as met conditions of the vaginal trial delivery. Intensive care of Vaginal delivery is safe and feasible.
