齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2015年
16期
2402-2403
,共2页
瘢痕子宫%指征%剖宫产%并发症
瘢痕子宮%指徵%剖宮產%併髮癥
반흔자궁%지정%부궁산%병발증
Scar uterus%Indication%Cesarean section%Complications
目的：研究分析瘢痕子宫再次妊娠的分娩方式选择，以及观察其对剖宫产率与母婴并发症的影响。方法回顾性分析2012年8月至2014年8月我院收治的瘢痕子宫再次妊娠病人84例的临床资料。结果84例孕产妇中符合阴道试产分娩指征为63例，有53例选择并顺利实施阴道分娩，阴道分娩率为63．1％（53／84例）；另外10例虽然符合阴道试产分娩指征，但是选择剖宫产分娩；其余21例符合剖宫产分娩指征，均顺利实施剖宫产分娩，剖宫产率为36．9％（31／84例）。剖宫产分娩并发症的发生率为64．5％（20／31例），其中9例发生盆腹腔粘连，3例发生子宫破裂，4例发生产后出血率，3例发生前置胎盘率，1例发生胎盘植入。结论应该注意及把握孕产妇瘢痕子宫阴道试产的适应症与禁忌症，瘢痕子宫再次行剖宫产的临床并发症比较多，要严格控制并采取有效的预防措施，努力减少瘢痕子宫再次剖宫产术后并发症的发生。
目的：研究分析瘢痕子宮再次妊娠的分娩方式選擇，以及觀察其對剖宮產率與母嬰併髮癥的影響。方法迴顧性分析2012年8月至2014年8月我院收治的瘢痕子宮再次妊娠病人84例的臨床資料。結果84例孕產婦中符閤陰道試產分娩指徵為63例，有53例選擇併順利實施陰道分娩，陰道分娩率為63．1％（53／84例）；另外10例雖然符閤陰道試產分娩指徵，但是選擇剖宮產分娩；其餘21例符閤剖宮產分娩指徵，均順利實施剖宮產分娩，剖宮產率為36．9％（31／84例）。剖宮產分娩併髮癥的髮生率為64．5％（20／31例），其中9例髮生盆腹腔粘連，3例髮生子宮破裂，4例髮生產後齣血率，3例髮生前置胎盤率，1例髮生胎盤植入。結論應該註意及把握孕產婦瘢痕子宮陰道試產的適應癥與禁忌癥，瘢痕子宮再次行剖宮產的臨床併髮癥比較多，要嚴格控製併採取有效的預防措施，努力減少瘢痕子宮再次剖宮產術後併髮癥的髮生。
목적：연구분석반흔자궁재차임신적분면방식선택，이급관찰기대부궁산솔여모영병발증적영향。방법회고성분석2012년8월지2014년8월아원수치적반흔자궁재차임신병인84례적림상자료。결과84례잉산부중부합음도시산분면지정위63례，유53례선택병순리실시음도분면，음도분면솔위63．1％（53／84례）；령외10례수연부합음도시산분면지정，단시선택부궁산분면；기여21례부합부궁산분면지정，균순리실시부궁산분면，부궁산솔위36．9％（31／84례）。부궁산분면병발증적발생솔위64．5％（20／31례），기중9례발생분복강점련，3례발생자궁파렬，4례발생산후출혈솔，3례발생전치태반솔，1례발생태반식입。결론응해주의급파악잉산부반흔자궁음도시산적괄응증여금기증，반흔자궁재차행부궁산적림상병발증비교다，요엄격공제병채취유효적예방조시，노력감소반흔자궁재차부궁산술후병발증적발생。
Objective To study delivery mode choice of uterine scar re-pregnancy , and to observe its effect on the rate of cesarean section and mother-infant complications .Methods Retrospective analysis of the clinical data of our hospital in 2012 August -2014 August of re-pregnancy in scar uterus in 84 patients . Results 84 cases of pregnant women in accordance with vaginal delivery indications of 63 cases, 53 cases were selected and the smooth implementation of vaginal delivery , vaginal delivery rate was 63.1% (53/84 cases);another 10 cases while meet the vaginal trial production delivery indications , but the choice of cesarean delivery;the remaining 21 patients with cesarean section indications both , the smooth implementation of cesarean delivery , cesarean section rate was 36.9% (31/84 cases).Cesarean section and the incidence of complications was 64. 5% (20/31 cases), including 9 cases of abdominal and pelvic adhesion in 3 cases of uterine rupture in 4 cases, the rate of postpartum hemorrhage , 3 cases occurred rate occurred in 1 cases of placenta previa , placenta implantation .Conclusions We should pay attention to and grasp the maternal uterine scar of vaginal delivery of the indications and contraindications , scar uterus for clinical complications of cesarean section is more , should strictly control and take effective preventive measures , efforts to reduce the recurrence of uterine scar after cesarean complication .
