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目的探讨瘢痕子宫再妊娠的分娩方式的选择。方法回顾分析120例患者的临床资料。结果 120例瘢痕子宫妊娠分娩,阴道试产41例,试产成功30例;再次剖宫产79例(其中择期剖宫产70例,阴道试产改行急诊剖宫产9例)。41例阴道试产者成功30例,自然分娩24例,阴道助产6例;试产失败11例,其中先兆子宫破裂3例,胎儿窘迫3例,继发性宫缩乏力3例,持续性枕后位2例,均改行急诊剖宫产分娩,无子宫破裂发生。结论生产方式的选择应根据产妇的具体情况而定。
Objective To investigate the choice of mode of delivery for uterine scar pregnancy. Methods The clinical data of 120 patients were retrospectively analyzed. Results 120 cases of uterine pregnancy and childbirth delivery, vaginal trial of 41 cases, trial success in 30 cases; again cesarean section in 79 cases (of which elective cesarean section in 70 cases, vaginal trial shift to cesarean section in 9 cases). 41 cases of successful vaginal delivery in 30 cases, 24 cases of spontaneous delivery, 6 cases of vaginal delivery; trial failed in 11 cases, including 3 cases of threatened uterine rupture, fetal distress in 3 cases, secondary uterine inertia in 3 cases, persistent Occipital position in 2 cases, all switched to emergency cesarean delivery, no uterine rupture occurred. Conclusion The choice of mode of production should be based on the specific circumstances of mothers.