摘要
目的探讨疤痕子宫妊娠再次剖宫产临床分析。方法选取2017年5月-2019年5月医院收治的疤痕子宫妊娠再次剖宫产产妇42例作为研究组,并选取同期我院非瘢痕子宫再次妊娠剖宫产产妇42作为对照组,分析两组产妇手术情况、宫腔黏连情况以及先兆子宫破裂与新生儿窒息发生情况。结果研究组手术时间、术中出血量、术后4h内出血量以及恶露持续时间均高于对照组(P<0.05);研究组盆腔黏连率高于对照组(P<0.05);研究组先兆子宫破裂与新生儿窒息发生率低于对照组(P<0.05)。结论瘢痕子宫会增加产妇盆腔黏连的发生率,增加产妇剖宫产手术出血量,延缓产妇术后机体恢复,增加产妇先兆子宫破裂与新生儿窒息发生率,建议临床上一定要严格控制首次生产剖宫产概率。
Objective To investigate the clinical analysis of scar uterus pregnancy resection. Methods selection in May 2017-in May 2019 in our hospital of uterine scar pregnancy again cesarean section 42 cases of maternal as a team, and USES the same from the scar uterus pregnancy cesarean section again women as control group, 42 analysis two groups of patients with uterine cavity conglutination and aura, uterine rupture and neonatal asphyxia is happening. Results The operation time, intraoperative blood loss, postoperative blood loss within 4 hours and duration of lochia in the study group were all higher than those in the control group(P<0.05). The pelvic adhesion rate in the study group was higher than that in the control group(P<0.05). The incidence of threatened uterine rupture and neonatal asphyxia in the study group was lower than that in the control group(P<0.05). Conclusion Scar uterus can increase the incidence of pelvic adhesion in patients, increase the blood loss during cesarean section, delay the postoperative recovery of patients, and increase the incidence of threatened uterine rupture and neonatal asphyxia in women. It is suggested that the probability of the first cesarean section should be strictly controlled in clinical practice.
作者
饶敏
RAO Min(Obstetrics and Gynecology Department,The First People’s Hospital of Xianning,Xianning Hubei 437000,China)
出处
《中国继续医学教育》
2020年第13期99-102,共4页
China Continuing Medical Education
关键词
疤痕子宫
剖宫产
临床分析
非瘢痕子宫
母婴结局
分娩方式
scar uterus
cesarean section
clinical analysis
non-scar uterus
and outcomes
delivery way
