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瘢痕子宫再次妊娠分娩方式的选择 被引量：17

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摘要 目的:探讨瘢痕子宫再次妊娠分娩方式及对母婴结局的影响。方法:对86例剖宫产术后再次妊娠产妇的分娩方式、分娩结局及母婴并发症进行回顾性分析。其中再次剖宫产(RCS)56例,剖宫产术后阴道分娩(VBAC)30例;并随机抽取同期首次剖宫产(PCS)60例,非瘢痕子宫阴道分娩(VBNC)50例进行对照。结果:①86例剖宫产术后再次妊娠者38例阴道试产,其中30例试产成功,占34.9%,再次剖宫产56例,占65.1%;②VBAC组产后24h出血量、术后发热、新生儿窒息和住院天数均比RCS组明显减少(P<0.05);③VBAC组产后24h出血量、术后发热、新生儿窒息率、先兆子宫破裂发生率与VBNC相比较,差异无统计学意义(P>0.05);④RCS组产后24h出血量较PCS组明显增多(P<0.001),其余指标比较差异无统计学意义(P>0.05)。结论:瘢痕子宫再次妊娠分娩,阴道分娩与剖宫产相比利多弊少,符合阴道试产条件者,严密监护下阴道试产是安全可行的。
作者 王国芬 农红映 韦湛影
机构地区 广西东兴市妇幼保健院妇产科 广西东兴市人民医院妇产科
出处 《广西医科大学学报》 CAS 2011年第5期752-754,共3页 Journal of Guangxi Medical University
关键词 瘢痕子宫 再次妊娠 阴道分娩 剖宫产
分类号 R719.8 [医药卫生—妇产科学]
  • 相关文献

参考文献6

二级参考文献19

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共引文献218

同被引文献116

  • 1陈桂林.剖宫产后瘢痕子宫再次妊娠分娩方式的临床研究[J].河南外科学杂志,2010,16(3):5-7. 被引量：11
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引证文献17

二级引证文献208

广西医科大学学报
2011年 第5期

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