CAJ | 학술논문

目的：探讨瘢痕子宫再次妊娠经阴道分娩的可行性及安全性。方法60例瘢痕子宫再次妊娠经阴道分娩产妇设为实验组，选择同期分娩的60例非瘢痕子宫再次妊娠经阴道分娩产妇设为对照组，比较两组分娩情况、分娩结局及并发症情况。结果实验组产妇分娩成功率91.7%低于对照组95.0%；两组产妇存活率均为100.0%，差异均无统计学意义(P>0.05)；实验组产程、产时出血量、新生儿Apgar评分与对照组相比，差异均无统计学意义(P>0.05)；实验组分娩并发症发生率38.3%高于对照组的18.3%(P<0.05)。结论瘢痕子宫再次妊娠经阴道分娩临床上可行性较强，安全性较高，能够减轻产妇痛苦，降低术后并发症发生率，值得推广应用。
목적：탐토반흔자궁재차임신경음도분면적가행성급안전성。방법60례반흔자궁재차임신경음도분면산부설위실험조，선택동기분면적60례비반흔자궁재차임신경음도분면산부설위대조조，비교량조분면정황、분면결국급병발증정황。결과실험조산부분면성공솔91.7%저우대조조95.0%；량조산부존활솔균위100.0%，차이균무통계학의의(P>0.05)；실험조산정、산시출혈량、신생인Apgar평분여대조조상비，차이균무통계학의의(P>0.05)；실험조분면병발증발생솔38.3%고우대조조적18.3%(P<0.05)。결론반흔자궁재차임신경음도분면림상상가행성교강，안전성교고，능구감경산부통고，강저술후병발증발생솔，치득추엄응용。
Objective To investigate the feasibility and safety of scarred uterus re-pregnancy by vaginal delivery.Methods There were 60 puerpera with scarred uterus re-pregnancy by vaginal delivery as experimental group, and another 60 puerpera in the same period with non-scarred uterus re-pregnancy by vaginal delivery as control group. Delivery condition, outcomes and complications were analyzed in the two groups.Results The delivery success rate in the experimental group was 91.7%, which was lower than 95.0% in the control group. Both groups had puerperal survival rate as 100.0%, and their differences all had no statistical significance (P>0.05). The differences of stages of labor, intrapartum bleeding volume, and neonatal Apgar score between the two groups all had no statistical significance (P>0.05). The experimental group had higher incidence of delivery complications as 38.3% than 18.3% of the control group (P<0.05).Conclusion Feasibility and safety of scarred uterus re-pregnancy by vaginal delivery are clinically high enough for relieving pain in puerpera and reducing postoperative complications, and it is worthy of promotion and application.