摘要
目的探究分析对瘢痕子宫妊娠如何更为恰当的选择分娩时机以及分娩方式。方法对我院2011年至2013年收治的瘢痕子宫妊娠产妇共45例,对其临床资料以回顾性的方法进行分析,归纳总结其最佳分娩时机以及方式。结果在45例瘢痕子宫妊娠产妇当中,有29例产妇进行了阴道试产方式且成功率达到65.5%;瘢痕子宫妊娠产妇进行剖宫产的原因主要有阴道试产失败,患者自身有剖宫产指征以及瘢痕的厚度低于3mm等,其中剖宫生产产妇产后出血量相对于阴道分娩产妇有显著差异(P<0.05)而新生儿Apgar评分无显著差异性(P>0.05)。结论对于瘢痕子宫妊娠产妇并非一定要用剖宫产,如符合阴道试产的在全面监视护理下进行阴道试产。
Objective To explore the analysis of scar uterus pregnancy how to select the delivery time and delivery way is more appropriate. Methods From 2011 to 2013 in our hospital were scar uterus pregnancy, a total of 45 cases; the clinical data were analyzed in a retrospective way, sum up the best delivery time and way. Results Among 45 cases of scar uterus pregnancy lying-in woman, has a way of 29 cases of maternal vaginal trial production was carried out and the success rate of 65.5%; mainly caused scar pregnancy cesarean section of uterine vaginal trial production failure, the patient＇s own have a cesarean section indications as well as the thickness of the scar is less than 3mm, including cutting palace production maternal postpartum haemorrhage amount had significant differences compared with vaginal delivery （P〈0.05） and neonatal Apgar score had no significant difference （P〉0.05）. Conclusions The scar uterus pregnancy is not a must use cesarean delivery, if accord with vaginal trial production of vaginal trial production under the comprehensive monitoring nursing.
出处
《中国医药指南》
2013年第26期318-319,共2页
Guide of China Medicine
关键词
瘢痕子宫妊娠
分娩时机
分娩方式
Uterine scar pregnancy
Delivery time
Delivery methods
