文章摘要
王根生,许红玲,王悦,朱慧芬.瘢痕子宫再次妊娠经阴道分娩的安全性研究[J].中国临床保健杂志,2018,21(5):689-691.
瘢痕子宫再次妊娠经阴道分娩的安全性研究
A security analysis of cesarean scar pregnancy
投稿时间:2018-07-02  
DOI:10.3969/J.issn.1672-6790.2018.05.032
中文关键词: 剖宫产术,再  剖宫产后阴道分娩  妊娠,卵巢  病人安全
英文关键词: Cesarean section, repeat  Vaginal birth after cesarean  Pregnancy,ovarian  Patient safety 〖FL
基金项目:
作者单位E-mail
王根生 安徽医科大学附属安庆医院妇产科,安庆 246000 zhuhuif2008@163.com 
许红玲 安徽医科大学附属安庆医院妇产科,安庆 246000 zhuhuif2008@163.com 
王悦 安徽医科大学附属安庆医院妇产科,安庆 246000 zhuhuif2008@163.com 
朱慧芬 安徽医科大学附属安庆医院妇产科,安庆 246000 zhuhuif2008@163.com 
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中文摘要:
      目的 探讨瘢痕子宫阴道试产的可行性和安全性。方法 通过回顾性分析140例瘢痕子宫再次妊娠分娩产妇的临床资料,按患者分娩意愿将患者分为两组,66例患者采用阴道试产进行分娩作为阴道试产组;其他74例患者采用剖宫产进行分娩作为剖宫产组;另选取同期在我院阴道分娩的非瘢痕子宫患者70例作为对照组。观察三组患者分娩情况以及并发症情况。结果 阴道试产组出血量、住院时间、新生儿体质量、住院费用均优于剖宫产组,差异有统计学意义(P<0.05);而阴道试产组上述指标与对照组差异无统计学意义(P>0.05)。阴道试产组、剖宫产组、对照组并发症发生率分别为7.58%、16.22%、2.86%。结论 在严格评估和良好的产时监护下,瘢痕子宫再次妊娠经阴道分娩是安全可行的。
英文摘要:
      Objective To discuss the feasibility and safety of vaginal delivery in140 cases with scar uterus. Methods A total of 140 pregnant women with scar uterus were included in this study.In this study,140 cases with scar uterus were divided into the trial vaginal production(66) and cesarean section(74).Furthermore,70 cases with vaginal delivery of non-uterine scarwere designed as control group.The delivery conditions and complications were valuated. Results The average postpartum hemorrhage,duration for hospital stay and hospitalization costs in trial vaginal production group than those of cesarean section group were significantly better(P<0.05).However,there were no significant differences between thetrial vaginal production group and control group.The incidences of complications among trial vaginal production,cesarean section and control group were 7.58%,16.22% and 2.86%,respectively. Conclusion The trial vaginal production with uterine scar is safe and feasible under monitor stage of labor,but vaginal delivery indications should be rigorously evaluated.
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