中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
13期
1997-1998
,共2页
瘢痕%子宫%剖宫产术,再%手术后并发症%临床对照试验
瘢痕%子宮%剖宮產術,再%手術後併髮癥%臨床對照試驗
반흔%자궁%부궁산술,재%수술후병발증%림상대조시험
Cicatrix%Uterus%Cesarean section,repeat%Postoperative complications%Controlled clinical trial
目的 对瘢痕子宫孕妇二次剖宫产并发症发生情况进行分析,为临床医师合理掌握剖宫产指征提供依据.方法 选取160例瘢痕子宫孕妇二次剖宫产作为研究对象(研究组),另选取同期进行剖宫产手术分娩的80例非瘢痕子宫孕妇作为对照组,对两组孕妇的临床资料进行回顾性分析.结果 研究组术中出血量、手术时间、手术费用、术后出血量、子宫切除率、新生儿窒息发生分别为(432±331)mL、(64±21) min、(0.91±0.11)万元、(262±187) mL、4.4％、11.9％,对照组分别为(361±209) mL、(44±16)min、(0.63±0.0)万元、(184±132) mL、1.3％、6.3％,两组差异均有统计学意义(=2.52、8.19、26.10、4.00,x2=3.98、4.76,均P＜0.05),两组周围脏器损伤情况差异无统计学意义(P＞0.05).结论 瘢痕子宫孕妇二次剖宫产手术容易导致手术出血量及术后出血量增加、手术时间延长、子宫切除率增加、新生儿窒息发生率增加等并发症.对于瘢痕子宫二次妊娠孕产妇应严格掌握手术指征.
目的 對瘢痕子宮孕婦二次剖宮產併髮癥髮生情況進行分析,為臨床醫師閤理掌握剖宮產指徵提供依據.方法 選取160例瘢痕子宮孕婦二次剖宮產作為研究對象(研究組),另選取同期進行剖宮產手術分娩的80例非瘢痕子宮孕婦作為對照組,對兩組孕婦的臨床資料進行迴顧性分析.結果 研究組術中齣血量、手術時間、手術費用、術後齣血量、子宮切除率、新生兒窒息髮生分彆為(432±331)mL、(64±21) min、(0.91±0.11)萬元、(262±187) mL、4.4％、11.9％,對照組分彆為(361±209) mL、(44±16)min、(0.63±0.0)萬元、(184±132) mL、1.3％、6.3％,兩組差異均有統計學意義(=2.52、8.19、26.10、4.00,x2=3.98、4.76,均P＜0.05),兩組週圍髒器損傷情況差異無統計學意義(P＞0.05).結論 瘢痕子宮孕婦二次剖宮產手術容易導緻手術齣血量及術後齣血量增加、手術時間延長、子宮切除率增加、新生兒窒息髮生率增加等併髮癥.對于瘢痕子宮二次妊娠孕產婦應嚴格掌握手術指徵.
목적 대반흔자궁잉부이차부궁산병발증발생정황진행분석,위림상의사합리장악부궁산지정제공의거.방법 선취160례반흔자궁잉부이차부궁산작위연구대상(연구조),령선취동기진행부궁산수술분면적80례비반흔자궁잉부작위대조조,대량조잉부적림상자료진행회고성분석.결과 연구조술중출혈량、수술시간、수술비용、술후출혈량、자궁절제솔、신생인질식발생분별위(432±331)mL、(64±21) min、(0.91±0.11)만원、(262±187) mL、4.4％、11.9％,대조조분별위(361±209) mL、(44±16)min、(0.63±0.0)만원、(184±132) mL、1.3％、6.3％,량조차이균유통계학의의(=2.52、8.19、26.10、4.00,x2=3.98、4.76,균P＜0.05),량조주위장기손상정황차이무통계학의의(P＞0.05).결론 반흔자궁잉부이차부궁산수술용역도치수술출혈량급술후출혈량증가、수술시간연장、자궁절제솔증가、신생인질식발생솔증가등병발증.대우반흔자궁이차임신잉산부응엄격장악수술지정.
Objective To analyze the complications of pregnant secondary cesarean in scar uterus,to provide theoretical guidance for cesarean section.Methods 160 pregnant women of secondary cesarean uterine scar were chosen as the study group.80 pregnant women of non-scar uterine were chosen as the control group.Results The bleeding volume during operation,operation time,operation fee,postoperative bleeding,uterine resection rate,neonatal asphyxia in study group were (432 ± 331) mL,(64 ± 21) min,(0.91 ± 0.11) million,(262 ± 187) mL,4.4％,11.9％,which in the control group were (361 ± 209) mL,(44 ± 16) min,(0.63 ± 0) million,(184 ± 132) mL,1.3％,6.3％ respectively,the differences were significant (t =2.52,8.19,26.10,4,4.76,x2 =3.98,all P ＜ 0.05).The two groups had no statistically significant difference in organ damage situation (P ＞ 0.05).Conclusion Secondary cesarean uterine scar easily lead to maternal blood loss and increased postoperative bleeding,prolonged surgery,increased hysterectomy rate,increased incidence of neonatal asphyxia and other complications.Pregnant uterine scar pregnancy is a high-risk pregnancy,pregnancy for maternal uterine scar secondary surgical indications should be strictly controlled.
