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剖宫产术后年限及子宫下段厚度对分娩方式的影响 被引量:4

The influence of length after cesarean section and thickness of lower wterine segment on delivery mode
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摘要 目的探讨剖宫产术后年限及子宫下段厚度对分娩方式的影响,并提出相应的护理措施。方法选取本院2011年3月~2012年5月210例孕产妇作为临床研究对象。观察产妇剖宫产术后的年限,采用B超和直视下检查子宫前壁下段的厚度,记录产妇的阴道试产成功率。结果子宫下段瘢痕的厚度则随剖宫产后时间的推移而递增,3年或以上最高,1年以下最低,差异有统计学意义(P<0.05)。1年以下组患者,子宫下段厚度试产成功组与试产失败组差异有统计学意义(P<0.05)。而对于1~2年组和3年以上组,子宫下段厚度试产成功组与试产失败组差异无统计学意义(P>0.05)。结论产妇在1年后子宫下段基本愈合,1年以后子宫下段厚度对分娩方式无明显影响。 Objective To explore the influence of length after cesarean section and lower uterine segment thickness on delivery mode. Methods Two hundred and ten cases of puerpera admitted into our hospital from March 2011 to May 2012 were selected as objects. The length after cesarean section of them were recorded, B-ultrasonic wave and direct vision were employed to check up the thickness of lower uterine segment and the success rate of vaginal trail produc- tion. Results The thickness of scar was increase with time prolonging, more than three years was highest and less than one year was lowest. The difference was statistically significant (P 〈 0.05). In the group of less than one year, the suc- cess rate of vaginal trail production was obviously relate to the thickness of lower uterine segment, the difference was statistically significant (P 〈 0.05). In the group of one to two years and more than three year, the success rate of vagi- nal trail production was not relate to the thickness of lower uterine segment (P 〉 0.05). Condusions Lower uterine segment is healed after one year, the thickness of lower uterine segment has no influce on delivery mode.
出处 《中国当代医药》 2013年第12期58-59,共2页 China Modern Medicine
关键词 剖宫产 子宫下段厚度 分娩方式 护理措施 Cesarean section Thickness of lower uterine segment Delivery mode Nursing measures
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