瘢痕子宫再次妊娠产科的临床治疗观察
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摘要
目的探究分析瘢痕子宫再次妊娠产科的临床治疗观察。方法选取2016年4月～2018年1月于我院产科收治的瘢痕子宫再次妊娠产妇64例作为研究对象,采取随机分组法分为剖宫产组和自然分娩组,每组各32例。剖宫产组产妇为剖宫产手术分娩,自然分娩组产妇为自然经阴道分娩,观察对比两组产妇的分娩结果以及并发症发生情况。结果经行自然分娩的产妇在产中出血量、产后出血量、新生儿指标评分(Apgar评分)以及住院时间等均优于经剖宫产手术分娩产妇,差异有统计学意义(P <0.05);在并发症发生方面,包括胎膜早破、宫缩乏力以及产后感染等,阴道分娩产妇组为6.25%(2/32)低于剖宫产手术组18.75%(6/32),差异有统计学意义(P <0.05)。结论对于瘢痕子宫再次妊娠患者在进行分娩时可根据实际情况选取,但无特殊情况时应尽量选择阴道分娩生产,可使得产妇和胎儿的预后大为提高。
Objective To explore the observation on clinical curative effects of re-pregnancy with scarred uterus in department of obstetrics. Methods 64 pregnant women with scar uterus who were admitted to our hospital from April 2016 to January 2018 were selected as research objects.According to the random grouping method,they were divided into the cesarean section group and the natural childbirth group,with 32 cases in each group.Women in the cesarean section groupdelivered by cesarean operationwhile women in the natural delivery group delivered by natural vaginal delivery.The delivery results and complications of the two groups were observed and compared. Results Intrapartum hemorrhage volume,postpartum hemorrhagevolume,neonatal index score(Apgar score) and hospital stay of puerpera with natural delivery were all better than those of puerpera with deliver by cesarean operation.The difference was statistically significant(P<0.05).In terms of complications including premature rupture of membranes,uterine atony,and postpartum infection,the incidence in the vaginal delivery group was 6.25%(2/32),lower than those in the cesarean section group 18.75%(6/32).The difference was statistically significant(P < 0.05). Conclusion For women of re-pregnancy with scarred uterus,the selection of delivery mode can be based on the actual situation.But in the absence of special circumstances,it is necessary totry to choose vaginal delivery,which can greatly improve maternal and fetalprognosis.
Objective To explore the observation on clinical curative effects of re-pregnancy with scarred uterus in department of obstetrics. Methods 64 pregnant women with scar uterus who were admitted to our hospital from April 2016 to January 2018 were selected as research objects.According to the random grouping method,they were divided into the cesarean section group and the natural childbirth group,with 32 cases in each group.Women in the cesarean section groupdelivered by cesarean operationwhile women in the natural delivery group delivered by natural vaginal delivery.The delivery results and complications of the two groups were observed and compared. Results Intrapartum hemorrhage volume,postpartum hemorrhagevolume,neonatal index score(Apgar score) and hospital stay of puerpera with natural delivery were all better than those of puerpera with deliver by cesarean operation.The difference was statistically significant(P<0.05).In terms of complications including premature rupture of membranes,uterine atony,and postpartum infection,the incidence in the vaginal delivery group was 6.25%(2/32),lower than those in the cesarean section group 18.75%(6/32).The difference was statistically significant(P < 0.05). Conclusion For women of re-pregnancy with scarred uterus,the selection of delivery mode can be based on the actual situation.But in the absence of special circumstances,it is necessary totry to choose vaginal delivery,which can greatly improve maternal and fetalprognosis.
引文
[1]李晓华,权祥菊.瘢痕子宫再次妊娠阴道分娩的安全性及阴道试产的适应证[J].检验医学与临床,2018,15(3):396-398.
[2]王少丽,韩蓁,董晋.剖宫产术后子宫切口瘢痕缺陷手术治疗的疗效及再次妊娠情况分析[J].河北医学,2017,23(12):2040-2043.
[3]谢卫洁.瘢痕子宫妊娠的围生期护理干预[J].实用临床医药杂志,2017,21(22):204-205.
[4]王小亚,秦利.瘢痕子宫二次妊娠剖宫产术后并发症发生情况研究[J].中国性科学,2017,26(11):127-129.
[5]任珊珊.阴道试产与剖宫产分娩在瘢痕子宫产妇中的临床效果比较分析[J].世界最新医学信息文摘,2017,17(81):47-48.
[6]赵允.瘢痕子宫再次妊娠产科的临床治疗观察[J].中国医药指南,2017,15(12):160.
[7]宋玉歌.瘢痕子宫再次妊娠产科临床治疗的体会[J].临床医药文献电子杂志,2017,4(2):257-258.
[8]胡永静.瘢痕子宫再次妊娠产科临床治疗分析[J].实用妇科内分泌杂志(电子版),2016,3(16):84,86.
[9]仇玮玮.瘢痕子宫再次妊娠经阴道分娩的临床观察[J].中国卫生标准管理,2015,6(30):54-56.
[10]陈静.疤痕子宫再次妊娠剖宫产68例临床分析[J].现代诊断与治疗,2015,26(15):3536-3537.
[11]周鑫广,张俊清,李莉,等.剖宫产术后瘢痕子宫再次妊娠阴道分娩的临床分析[J].中国卫生标准管理,2015,6(17):55-58.
[12]曾源娇.瘢痕子宫患者再次妊娠剖宫产产后出血的相关因素分析[J].中国医药科学,2015,5(2):66-69.
[13]罗力冰,吴婷.瘢痕子宫再次足月妊娠阴道分娩临床分析[J].中华实用诊断与治疗杂志,2014,28(10):1011-1012.
[14]韩一栩,刘玉珠.瘢痕子宫二次妊娠剖宫产术后并发症发生情况分析[J].中国妇幼保健,2014,29(20):3246-3248.
[15]蔡喜颖.瘢痕子宫妊娠阴道分娩的手术治疗探讨[J].当代医学,2014,20(19):20.
[16]韦淑芬.瘢痕子宫患者再次妊娠剖宫产产后出血的相关因素分析[J].中国现代医生,2013,51(27):132-134.
[2]王少丽,韩蓁,董晋.剖宫产术后子宫切口瘢痕缺陷手术治疗的疗效及再次妊娠情况分析[J].河北医学,2017,23(12):2040-2043.
[3]谢卫洁.瘢痕子宫妊娠的围生期护理干预[J].实用临床医药杂志,2017,21(22):204-205.
[4]王小亚,秦利.瘢痕子宫二次妊娠剖宫产术后并发症发生情况研究[J].中国性科学,2017,26(11):127-129.
[5]任珊珊.阴道试产与剖宫产分娩在瘢痕子宫产妇中的临床效果比较分析[J].世界最新医学信息文摘,2017,17(81):47-48.
[6]赵允.瘢痕子宫再次妊娠产科的临床治疗观察[J].中国医药指南,2017,15(12):160.
[7]宋玉歌.瘢痕子宫再次妊娠产科临床治疗的体会[J].临床医药文献电子杂志,2017,4(2):257-258.
[8]胡永静.瘢痕子宫再次妊娠产科临床治疗分析[J].实用妇科内分泌杂志(电子版),2016,3(16):84,86.
[9]仇玮玮.瘢痕子宫再次妊娠经阴道分娩的临床观察[J].中国卫生标准管理,2015,6(30):54-56.
[10]陈静.疤痕子宫再次妊娠剖宫产68例临床分析[J].现代诊断与治疗,2015,26(15):3536-3537.
[11]周鑫广,张俊清,李莉,等.剖宫产术后瘢痕子宫再次妊娠阴道分娩的临床分析[J].中国卫生标准管理,2015,6(17):55-58.
[12]曾源娇.瘢痕子宫患者再次妊娠剖宫产产后出血的相关因素分析[J].中国医药科学,2015,5(2):66-69.
[13]罗力冰,吴婷.瘢痕子宫再次足月妊娠阴道分娩临床分析[J].中华实用诊断与治疗杂志,2014,28(10):1011-1012.
[14]韩一栩,刘玉珠.瘢痕子宫二次妊娠剖宫产术后并发症发生情况分析[J].中国妇幼保健,2014,29(20):3246-3248.
[15]蔡喜颖.瘢痕子宫妊娠阴道分娩的手术治疗探讨[J].当代医学,2014,20(19):20.
[16]韦淑芬.瘢痕子宫患者再次妊娠剖宫产产后出血的相关因素分析[J].中国现代医生,2013,51(27):132-134.