CAJ | 학술논문

目的：：对剖宫产术后足月妊娠阴道分娩适应症进行研究。方法：选取2013年1月至2014年5月入住阿尔及利亚SETIF省立医院的剖宫产术后足月妊娠再次阴道分娩孕妇982例，对剖宫产术后足月妊娠阴道试产成功病例进行临床分析，把其作为观察组；选择同期入住我院的进行阴道分娩的初次孕妇982例设为对照组。结果：将观察组中的孕妇术中出血量(115．1±28．1)mL、术后出血量(261.7±67．2)mL与对照组中的术中出血量(150．6±32.9)mL及术后出血量(255．7±63．3) mL比较，观察组上次臀位手术适应症的患者此次阴道分娩成功率最高，为91.76%，其次分别为前置胎盘80．72%、宫内窘迫52.37%及滞产26．67%。观察组产褥热(9．06%)、子宫内膜炎(19．76%)、新生儿湿肺情况(15．89%)低于对照组的12．32%、24．54%、19．55%，差异有统计学意义(P<0．05)。结论：掌握剖宫产术后足月妊娠阴道分娩适应症，对符合阴道分娩适应症条件的剖宫产术后再次足月妊娠的孕妇，应对其先进行阴道分娩试产，使自然分娩率的成功率增加，降低对孕妇的剖腹产分娩率。
목적：：대부궁산술후족월임신음도분면괄응증진행연구。방법：선취2013년1월지2014년5월입주아이급리아SETIF성립의원적부궁산술후족월임신재차음도분면잉부982례，대부궁산술후족월임신음도시산성공병례진행림상분석，파기작위관찰조；선택동기입주아원적진행음도분면적초차잉부982례설위대조조。결과：장관찰조중적잉부술중출혈량(115．1±28．1)mL、술후출혈량(261.7±67．2)mL여대조조중적술중출혈량(150．6±32.9)mL급술후출혈량(255．7±63．3) mL비교，관찰조상차둔위수술괄응증적환자차차음도분면성공솔최고，위91.76%，기차분별위전치태반80．72%、궁내군박52.37%급체산26．67%。관찰조산욕열(9．06%)、자궁내막염(19．76%)、신생인습폐정황(15．89%)저우대조조적12．32%、24．54%、19．55%，차이유통계학의의(P<0．05)。결론：장악부궁산술후족월임신음도분면괄응증，대부합음도분면괄응증조건적부궁산술후재차족월임신적잉부，응대기선진행음도분면시산，사자연분면솔적성공솔증가，강저대잉부적부복산분면솔。
Objective:To study the indications of full-term pregnancy vaginal birth after cesarean section. Methods:From Jan-uary 2013 to May 2014 in Algeria SETIF provincial hospital,the successful cases in 982 cases of full-term pregnancy with vagina birth after cesarean section were set in observation group with clinical analysis,while 982 cases of primiparae same time in hour hospital with vaginal delivery were in control group. Results:The observation group had bleeding amount of pregnant women (115. 1±28. 1) mL, postoperative blood loss (261. 7±67. 2) mL and control group had intraoperatie blood loss (150. 6 ±32. 9) mL,postoperative blood loss (255. 7±63. 3) mL. In observation group,cases with last breech surgery indications had the highest success rate of vaginal delivery (91. 76%),secondly respectively,placenta previa 80. 72%,fetal distress 52. 37% and prolonged labour26. 67%. Observation group had puerperal fever (9. 06%),endometritis (19. 76%),neonatal wet lung (15. 89%),which was significantly lower than the control group (12. 32%,24. 54% and 19. 55%),and the difference was statistically significant (P<0. 05). Conclusion:We should master the indications of full-term pregnancy vaginal birth after cesarean section;those pregnant women meeting the conditions for vaginal delivery, the first trial production should be vaginal delivery so as to increase the success rate of natural childbirth and to reduce cesarean births for pregnant women.