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目的探讨瘢痕子宫再妊娠的临床特点及处理方法。方法本次临床研究对2011年1月至2011年12月之间来就诊的85例瘢痕子宫再妊娠患者为观察对象,回顾分析所有85例产妇的临床特征和处理效果。结果不论产妇两次妊娠间隔时间长短,所有伤口愈合不良、子宫下段纵切口和子宫体部剖宫产的产妇,均应实施剖宫产;同时,患有妊娠并发症和合并症、胎儿不正、骨盆狭窄、子宫肌壁较薄和术后不超过2年,但是拒绝试产的产妇,也应选择剖宫产。而无明显剖宫产指征的产妇应尽量选择阴道试产,以保证母婴安全。结论掌握阴道分娩适应证,在分娩过程中对产妇进行严密监测,及时发现和处理异常状况,有助于降低瘢痕子宫再妊娠产妇的风险性,保证母婴安全。
Objective To investigate the clinical features and treatment of uterine scar pregnancy. Methods The clinical study of 85 patients with uterine scar pregnancy from January 2011 to December 2011 were retrospectively analyzed. All 85 maternal clinical features and treatment effects were retrospectively analyzed. Results Regardless of the length of maternal interval between two pregnancies, all wound healing, lower uterine segment incision and uterine cesarean section of the mother should be implemented cesarean section; the same time, with complications and complications of pregnancy, fetal malformations, Pelvic stricture, thinner uterine muscle wall and postoperative less than 2 years, but refuse to give birth to the mother, should choose cesarean section. And no obvious cesarean indications of women should try to choose vaginal trial production, in order to ensure the safety of mother and child. Conclusions Grasp the indications of vaginal delivery, in the process of childbirth during the close monitoring of maternal and timely detection and treatment of abnormalities, help reduce the risk of uterine pregnancy and maternal pregnancy to ensure the safety of mother and child.