中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
31期
10-11
,共2页
疤痕子宫%再次妊娠%剖宫产%阴道分娩
疤痕子宮%再次妊娠%剖宮產%陰道分娩
파흔자궁%재차임신%부궁산%음도분면
Scar uterus%Repeated pregnancy%Cesarean section%Vaginal delivery
目的：探讨疤痕子宫再次妊娠行剖宫产与阴道分娩对分娩结局的影响。方法将该院2012年12月-2013年12月接收的疤痕子宫再次妊娠100例产妇设为观察组，将同期我院接收的非疤痕子宫分娩者设为对照组，对比两组的分娩结局。结果观察组100例中阴道试产50例，成功者为40例，占比为80.0%，其较之于对照组阴道分娩的产时出血量、产程、新生儿窒息、新生儿Apgar评分以及住院时间均差异无统计学意义（P>0.05)；观察组再次剖宫者较之于对照组首次剖宫者的产时出血量、手术时间、切口愈合时间以及住院时间均较长（P<0.05)。结论疤痕子宫再次妊娠者行阴道分娩为一种经济、有效且安全的分娩方式，但应密切观察产程进展，并做好中转手术准备，以防止子宫破裂。
目的：探討疤痕子宮再次妊娠行剖宮產與陰道分娩對分娩結跼的影響。方法將該院2012年12月-2013年12月接收的疤痕子宮再次妊娠100例產婦設為觀察組，將同期我院接收的非疤痕子宮分娩者設為對照組，對比兩組的分娩結跼。結果觀察組100例中陰道試產50例，成功者為40例，佔比為80.0%，其較之于對照組陰道分娩的產時齣血量、產程、新生兒窒息、新生兒Apgar評分以及住院時間均差異無統計學意義（P>0.05)；觀察組再次剖宮者較之于對照組首次剖宮者的產時齣血量、手術時間、切口愈閤時間以及住院時間均較長（P<0.05)。結論疤痕子宮再次妊娠者行陰道分娩為一種經濟、有效且安全的分娩方式，但應密切觀察產程進展，併做好中轉手術準備，以防止子宮破裂。
목적：탐토파흔자궁재차임신행부궁산여음도분면대분면결국적영향。방법장해원2012년12월-2013년12월접수적파흔자궁재차임신100례산부설위관찰조，장동기아원접수적비파흔자궁분면자설위대조조，대비량조적분면결국。결과관찰조100례중음도시산50례，성공자위40례，점비위80.0%，기교지우대조조음도분면적산시출혈량、산정、신생인질식、신생인Apgar평분이급주원시간균차이무통계학의의（P>0.05)；관찰조재차부궁자교지우대조조수차부궁자적산시출혈량、수술시간、절구유합시간이급주원시간균교장（P<0.05)。결론파흔자궁재차임신자행음도분면위일충경제、유효차안전적분면방식，단응밀절관찰산정진전，병주호중전수술준비，이방지자궁파렬。
Objective To explore the effect of cesarean section and vaginal delivery on the delivery outcome of repeated pregnancy in scar uterus. Methods 100 puerperants with repeated pregnancy in scar uterus admitted in our hospital from December 2012 to December 2013 were set as the observation group, and puerperants without scar uterus admitted during the same period were set as the control group. And the delivery outcome was compared between the two groups. Results Of the 100 cases in the observation group, 50 cases tried vaginal delivery, of them, 40 cases were successful, accounted for 80.0%, and the differences in amount of intrapartum hemorrhage, duration of labor, neonatal asphyxia, neonatal Apgar score and the length of hospital stay between them and the control group were not statistically significant (P>0.05); the amount of intrapartum hemorrhage, duration of operation, inci-sion healing time, and the length of stay of the puerperants with second cesarean section in the observation group were more than those of the puerperants with first cesarean section in the control group (P<0.05). Conclusion For women with repeated pregnancy in scar uterus, vaginal delivery is an economic, effective and safe delivery mode, but the development of labor should be closely observed, and the preparation of converting to operation should be well done so as to prevent the incidence of rupture of uterus.
