CAJ | 학술논문

目的：探讨瘢痕子宫阴道分娩的可行性与安全性，进一步指导临床。方法98例瘢痕子宫再次妊娠选择阴道分娩产妇作为观察组，同期随机选取98例非瘢痕子宫选择阴道分娩的产妇作为对照组，对比分析两组产妇阴道分娩情况及产妇、新生儿并发症情况。结果观察组阴道试产成功率、产程时间、住院时间与对照组相比，差异无统计学意义(P>0.05)，观察组产后出血量、先兆子宫破裂及新生儿Apgar评分与对照组相比，差异无统计学意义(P>0.05)。结论瘢痕子宫再次妊娠在符合试产条件下行阴道试产具有较高的安全性与可行性，可以有效降低剖宫产率，值得临床借鉴。
목적：탐토반흔자궁음도분면적가행성여안전성，진일보지도림상。방법98례반흔자궁재차임신선택음도분면산부작위관찰조，동기수궤선취98례비반흔자궁선택음도분면적산부작위대조조，대비분석량조산부음도분면정황급산부、신생인병발증정황。결과관찰조음도시산성공솔、산정시간、주원시간여대조조상비，차이무통계학의의(P>0.05)，관찰조산후출혈량、선조자궁파렬급신생인Apgar평분여대조조상비，차이무통계학의의(P>0.05)。결론반흔자궁재차임신재부합시산조건하행음도시산구유교고적안전성여가행성，가이유효강저부궁산솔，치득림상차감。
ObjectiveTo investigate the feasibility and safety of scarred uterus vaginal delivery, in order to provide further clinical guide.MethodsThere were 98 scarred uterus re-pregnant puerpera choosing vaginal delivery as observation group, and another 98 puerpera without scarred uterus as control group. Vaginal delivery situation, complications of puerpera and newborn of the two groups were compared and analyzed.ResultsThere were no statistically significant differences of vaginal trial production success rate, labor time, and hospital stay between the two groups (P>0.05). Compared with the control group, the observation group had no statistically significant differences of postpartum hemorrhage volume, impending of rupture of uterus, and neonatal Apgar score (P>0.05).ConclusionVaginal trial production under corresponding conditions has high safety and feasibility for scarred uterus re-pregnancy. This method can effectively reduce cesarean section rate, and it is worthy of clinical reference.