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目的:分析瘢痕子宫再次妊娠病例,探讨瘢痕子宫对再次妊娠分娩方式的影响。方法:对200例瘢痕子宫再次妊娠患者的临床资料进行回顾性分析,统计阴道试产的比例和成功率以及产后出血情况等。结果:瘢痕子宫再次妊娠产妇中再次剖宫产率为82.0%,试产后的阴道自然分娩率为80.0%。瘢痕子宫选择再次剖宫产的原因有很多,其中以社会原因为主。瘢痕不足两年者60例,占30.0%;瘢痕不明显者5例,占2.5%。结论:瘢痕子宫再次妊娠易发生并发症,增加产妇和胎儿的危险,应该在综合考虑和检测的基础上确定产妇的分娩方式,最大程度保障母婴安全。
OBJECTIVE: To analyze the cases of uterine scar pregnancy again to investigate the effect of scar uterus on the way of pregnancy delivery. Methods: The clinical data of 200 patients with uterine scar pregnancy were retrospectively analyzed. The proportion and success rate of vaginal trial production and postpartum hemorrhage were analyzed. Results: Cesarean section rate was 82.0% in pregnant women with scar uterine re-pregnancy and 80.0% in vaginal delivery after trial. Cesarean scar selection There are many reasons for cesarean section again, of which the main social reasons. 60 cases scarred less than two years, accounting for 30.0%; scarring was not obvious in 5 cases, accounting for 2.5%. Conclusion: The pregnancy of uterus scar is easy to occur complication and increase the risk of maternal and fetus. The mode of delivery should be determined on the basis of comprehensive consideration and testing to ensure the safety of maternal and infant.