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目的探讨瘢痕子宫再次妊娠分娩方式的选择。方法回顾分析2010年6月至2012年5月收治的341例瘢痕子宫再次妊娠孕妇的临床资料,观察妊娠结局及对母儿并发症的影响。结果瘢痕子宫再次妊娠341例孕妇中,86例(25.22%)选择阴道试产,其中54例(62.79%)试产成功。有255例(74.78%)选择剖宫产。两组孕妇均无母儿死亡及子宫破裂的发生。阴道试产组轻度窒息2例(2.33%);剖宫产组轻度窒息4例(1.57%),两组比较无统计学差异(P>0.05)。阴道分娩组出血量(150.47±50.76)ml,再次剖宫产组出血量为(339.92±174.55)ml,两组比较差异有统计学意义(P<0.05)。结论瘢痕子宫再次妊娠孕妇,应根据具体情况选择合理的分娩方式,在降低剖宫产率的同时改善母婴预后。
Objective To investigate the choice of delivery mode of scar pregnancy after uterine pregnancy. Methods The clinical data of 341 pregnant women with uterine scar pregnancy who were treated from June 2010 to May 2012 were retrospectively analyzed. The pregnancy outcome and the effect on maternal and child complications were observed. RESULTS: Of 341 pregnant women with scar uterine re-pregnancy, 86 (25.22%) women were selected for vaginal trial, of which 54 (62.79%) were successfully trial-produced. There are 255 cases (74.78%) choose cesarean section. Two groups of pregnant women were no maternal death and uterine rupture occurred. There was no significant difference between the two groups (P> 0.05) .2 cases of mild asphyxia in trial group (2.33%) and mild asphyxia in cesarean section group (1.57%). The amount of bleeding in the vaginal delivery group was (150.47 ± 50.76) ml, and again in the cesarean section group was (339.92 ± 174.55) ml. There was significant difference between the two groups (P <0.05). Conclusion pregnant women with uterine scar pregnancy again, should choose the reasonable mode of delivery according to the specific circumstances, in reducing cesarean section rate while improving maternal and infant prognosis.