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67例剖宫产术后疤痕子宫妊娠的临床诊治分析 被引量:12

Clinical Analysis in 67 Cases of Uterine Scar Pregnancy
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摘要 目的:总结剖宫产术后疤痕子宫妊娠的诊治体会,为今后的临床工作提供参考。方法:选择我院2008年4月~2012年3月收治的剖宫产术后疤痕子宫妊娠孕妇67例作为观察组。以同期分娩的正常孕妇70例作为对照组。比较两组剖宫产率、产后出血量、术后并发症、新生儿窒息率、新生儿Apgar评分的差异。结果:与对照组比较,观察组剖宫产率较高,产后出血量较大,术后并发症发生率较高,新生儿窒息率较高、新生儿Apgar评分较低,差异均有统计学意义(P<0.05)。结论:剖宫产术后疤痕子宫妊娠是一种凶险的异位妊娠类型,发生母婴不良结局的危险性较大,在临床诊治过程中应予以重视。 Objective:To summarize the uterus after cesarean section scar pregnancy diagnosis experience,for future clinical reference.Methods:Choose 67 cases in our hospital from Apr.2008 to Mar.2012 treated after cesarean uterine scar pregnancy as the observation group.During the same period in 70 normal pregnant women as controls.Comparison of two cesarean section rate,amount of postpartum bleeding,postoperative complications,neonatal asphyxia,neonatal Apgar score differences.Results:Compared with control group,observation of cesarean section rate is higher,postpartum hemorrhage volume larger,high incidence rate of postoperative complications,neonatal asphyxia rate is higher,newborn Apgar score was lower,the difference was significant(P0.05).Conclusion:After cesarean uterine scar pregnancy is a dangerous type of ectopic pregnancy,perinatal adverse outcomes occurred more dangerous,in the clinical diagnosis and treatment should be paid attention to in the process.
作者 黄慧
出处 《中国医药导刊》 2013年第3期427-428,共2页 Chinese Journal of Medicinal Guide
关键词 剖宫产 疤痕子宫妊娠 诊治体会 Cesarean section Uterine scar pregnancy Diagnosis and treatment
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