CAJ | 학술논문

目的：观察瘢痕子宫孕妇围产期内出现并发症的几率及临床治疗效果。方法：选取2010年1月到2014年1月于我院行二次剖宫产手术的瘢痕子宫孕妇98例为研究对象，将其归入观察组；同时选取114例同期健康产妇资料并入对照组。两组产妇的临床资料进行回顾性分析，通过比对探讨瘢痕子宫孕妇出现围产期并发症的几率及相应的临床治疗效果。结果：参与研究的98例观察组产妇中9例（9.18%）于分娩时出现胎儿胎盘异常，7例（7.14%）出现早产倾向，围产期并发症发生几率明显高于对照组产妇，组间对比差异显著，P<0.05。结论：瘢痕子宫产妇应当定期于医院接受产前检查，时刻注意宫缩情况与子宫下段瘢痕厚度变化情况，降低子宫破裂等围产期并发症几率及分娩风险，提升孕妇产后恢复速度与预后质量。
목적：관찰반흔자궁잉부위산기내출현병발증적궤솔급림상치료효과。방법：선취2010년1월도2014년1월우아원행이차부궁산수술적반흔자궁잉부98례위연구대상，장기귀입관찰조；동시선취114례동기건강산부자료병입대조조。량조산부적림상자료진행회고성분석，통과비대탐토반흔자궁잉부출현위산기병발증적궤솔급상응적림상치료효과。결과：삼여연구적98례관찰조산부중9례（9.18%）우분면시출현태인태반이상，7례（7.14%）출현조산경향，위산기병발증발생궤솔명현고우대조조산부，조간대비차이현저，P<0.05。결론：반흔자궁산부응당정기우의원접수산전검사，시각주의궁축정황여자궁하단반흔후도변화정황，강저자궁파렬등위산기병발증궤솔급분면풍험，제승잉부산후회복속도여예후질량。
Objective : To observe the maternal uterine scar chance of perinatal complications and clinical outcomes . Methods: January 2010 to January 2014 scarred uterus of pregnant women in our hospital 98 cases of secondary cesarean section for the study , which was included in the observation group ; while selecting the same period 114 cases of maternal health data into the control group . Two maternal clinical data were retrospectively analyzed by comparing uterine scar pregnant women to explore the chance of perinatal complications and the corresponding clinical effect. Results: 98 patients participated in the study groups were observed in 9 cases ( 9.18% ) occurred at the time of childbirth fetal placental abnormalities, 7 cases ( 7.14% ) occurred in premature tendency maternal perinatal complications was significantly higher probability of occurrence , group significant differences between the comparison , P <0.05. Conclusion: Maternal uterine scar should regularly in the hospital for prenatal care, always pay attention to the situation and the lower uterine segment uterine scar thickness changes, reducing the chance of perinatal complications such as uterine rupture and delivery risk , improve maternal postpartum recovery speed and quality outcomes .