中国卫生标准管理
中國衛生標準管理
중국위생표준관리
CHINA HEALTH STANDARD MANAGEMENT
2015年
20期
35-36
,共2页
瘢痕子宫%再次妊娠%阴道分娩%可行性%安全性%妊娠结局
瘢痕子宮%再次妊娠%陰道分娩%可行性%安全性%妊娠結跼
반흔자궁%재차임신%음도분면%가행성%안전성%임신결국
Uterine scar%Subsequent pregnancy%Vaginal delivery%Feasibility%Security%Pregnancy outcomes
目的：对疤痕子宫再次妊娠经阴道分娩的可行性及安全性进行分析探讨，为今后的临床工作提供有价值的参考信息。方法抽取在2013年4月～2015年4月间我院收治的疤痕子宫再次妊娠产妇96例，将其按照分娩方式分成剖宫产组和阴道分娩组，每组均包含有产妇48例，而后对这两组产妇的妊娠结局展开对比分析。结果剖宫产组产妇均成功分娩，阴道分娩组中阴道试产成功分娩者34例，成功率为70.83%；两组产妇均未出现子宫破裂现象；两组产妇分娩时间、母婴存活率比较无统计学差异（P>0.05）；阴道分娩组产妇出血量、住院时间均较剖宫产组少（P<0.05）；阴道分娩组产后并发症发生率较剖宫产组发生降低（P<0.05）。结论针对疤痕子宫再次妊娠产妇建议符合阴道试产条件者积极展开阴道试产，通过对比可证实，疤痕子宫阴道分娩的可行性以及安全性较高，在今后的临床工作中应对其给予足够的重视。
目的：對疤痕子宮再次妊娠經陰道分娩的可行性及安全性進行分析探討，為今後的臨床工作提供有價值的參攷信息。方法抽取在2013年4月～2015年4月間我院收治的疤痕子宮再次妊娠產婦96例，將其按照分娩方式分成剖宮產組和陰道分娩組，每組均包含有產婦48例，而後對這兩組產婦的妊娠結跼展開對比分析。結果剖宮產組產婦均成功分娩，陰道分娩組中陰道試產成功分娩者34例，成功率為70.83%；兩組產婦均未齣現子宮破裂現象；兩組產婦分娩時間、母嬰存活率比較無統計學差異（P>0.05）；陰道分娩組產婦齣血量、住院時間均較剖宮產組少（P<0.05）；陰道分娩組產後併髮癥髮生率較剖宮產組髮生降低（P<0.05）。結論針對疤痕子宮再次妊娠產婦建議符閤陰道試產條件者積極展開陰道試產，通過對比可證實，疤痕子宮陰道分娩的可行性以及安全性較高，在今後的臨床工作中應對其給予足夠的重視。
목적：대파흔자궁재차임신경음도분면적가행성급안전성진행분석탐토，위금후적림상공작제공유개치적삼고신식。방법추취재2013년4월～2015년4월간아원수치적파흔자궁재차임신산부96례，장기안조분면방식분성부궁산조화음도분면조，매조균포함유산부48례，이후대저량조산부적임신결국전개대비분석。결과부궁산조산부균성공분면，음도분면조중음도시산성공분면자34례，성공솔위70.83%；량조산부균미출현자궁파렬현상；량조산부분면시간、모영존활솔비교무통계학차이（P>0.05）；음도분면조산부출혈량、주원시간균교부궁산조소（P<0.05）；음도분면조산후병발증발생솔교부궁산조발생강저（P<0.05）。결론침대파흔자궁재차임신산부건의부합음도시산조건자적겁전개음도시산，통과대비가증실，파흔자궁음도분면적가행성이급안전성교고，재금후적림상공작중응대기급여족구적중시。
Objective Uterine scar pregnancy,vaginal delivery of the feasibility and safety again analyzed and discussed,providing valuable reference information for future clinical work.MethodsExtraction from April 2013 to April 2015 in our hospital uterine scar again,96 cases of pregnant women,which is divided according to mode of delivery cesarean section group and the vaginal delivery group,each group containing 48 cases of maternal,then the two groups expanded maternal pregnancy outcomes analyzed.Results Maternal cesarean group were successful delivery,vaginal delivery group, the successful trial production of vaginal delivery in 34 cases,the success rate was 70.83%,two groups of mothers were not there the phenomenon of uterine rupture,two maternity time,maternal and child survival there was no significant difference(P> 0.05),maternal vaginal delivery group blood loss,hospital stay less than in cesarean group(P< 0.05),vaginal delivery group postpartum complication rate compared with cesarean group had lower(P< 0.05).Conclusion For pregnant women uterine scar again recommend vaginal trial production in line with the conditions to actively expand the vaginal trial production,by contrast verifiable feasibility uterine scar vaginal delivery and high security,they should in future clinical work given enough attention.
