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目的探讨瘢痕子宫再次妊娠分娩方式的选择及经阴道分娩的可行性。方法对我院2009年1月至2011年12月120例瘢痕子宫再次妊娠经阴道分娩患者的资料进行回顾性分析和总结。结果 100例试产成功(占83.3%),无严重并发症发生,母婴安全。5例出现先兆子宫破裂症状,改为剖宫产。15例因患者因素改为剖宫产。结论瘢痕子宫再次妊娠分娩并非是剖宫产的绝对指征,要从各个方面综合考虑,在把握好适应证的情况下,阴道分娩是安全可行的。
Objective To investigate the choice of delivery mode of scar pregnancy after uterine pregnancy and the feasibility of vaginal delivery. Methods A retrospective analysis and summary of the data of 120 patients with uterine scar pregnancy after transvaginal delivery in our hospital from January 2009 to December 2011 were performed. Results 100 trial trial success (83.3%), no serious complications, maternal and child safety. 5 cases of threatened uterine rupture symptoms, replaced by cesarean section. 15 cases due to patient factors to cesarean section. Conclusion Reproductive pregnancy in cesarean uterus is not an absolute indication of cesarean section. Considering from all aspects, vaginal delivery is safe and feasible under the indications of indications.