摘要
目的观察与探讨瘢痕子宫、非瘢痕子宫阴道试产的妊娠结局。方法选择2014年1月至2016年12月我院收治的76例瘢痕子宫孕妇为观察组,并另选同时期76例非瘢痕子宫孕妇为对照组,对所有孕妇的临床资料予以回顾性分析,比较两组孕妇阴道分娩成功率、并发症发生率、产程时间、产时出血量以及新生儿Apgar评分情况。结果观察组中,43例孕妇阴道分娩成功,分娩成功率为56.6%,33例为急诊剖宫产;对照组中,52例孕妇阴道分娩成功,分娩成功率为68.4%,24例为急诊剖宫产,对照组阴道分娩成功率优于观察组,但差异无统计学意义(P>0.05)。观察组孕妇并发症发生率为14.0%,对照组为7.7%,两组比较无明显差异(P>0.05)。两组孕妇在产程时间、新生儿Apgar评分方面比较,无显著差异(P>0.05);而观察组孕妇产时出血量显著多于对照组(P<0.05)。结论阴道试产对于瘢痕子宫行剖宫产史的再次足月妊娠孕妇是可行的,但医务人员要严格控制适应症,以降低有关风险,还要做好急救、输血及中转急诊剖宫产手术的准备,尽最大可能保证母婴安全。
Objective To observe and discuss the pregnancy outcomes of scarred uterus and non scar uterus with vaginal trial production. Methods Seventy-six cases of pregnant woman with scar uterus in our hospital from January 2014 to December 2016 were selected as observation group, another 76 cases of pregnant woman with non scar uterus in the same period were selected as control group. The clinical data of all pregnant women were analyzed retrospectively. The vaginal delivery rate, complication rate, duration of labor, amount of bleeding at birth and neonatal Apgar score were compared between the two groups. Results In the observation group, there were 43 cases with vaginal delivery, the successful rate of delivery was 56.6%, and 33 cases were emergency cesarean section. In the control group, there were 52 cases with vaginal delivery, the successful rate of delivery was 68.4%, and 24 cases were emergency cesarean section. The successful rate of control group was better than that of the observation group, but the difference was not statistically significant （P〉0.05）. The complication rate was 14.0% in the observation group and 7.7% in the control group, and there was no significant difference between the two groups （P〉0.05）. The bleeding volume of the observation group was significantly higher than that of the control group （P〈0.05）. Conclusion Vaginal trial is feasible for the full-term pregnant women who have undergone caesarean section with scar uterus. However, considering the relevant risks, medical staff should strictly master indication, do a good job in emergency operation, transfusion and make preparation for emergency cesarean section ooeration in order to ensure the maternal and infant safety.
出处
《临床医学研究与实践》
2017年第16期136-137,共2页
Clinical Research and Practice
关键词
瘢痕子宫
阴道试产
妊娠结局
剖宫产
scar uterus
vaginal trial production
pregnancy outcome： uterine-incision delivery
