[1]张英延*,李丽,王俊华.瘢痕子宫再次剖宫产与非瘢痕子宫剖宫产的 妊娠结局分析[J].中国计划生育和妇产科,2017,(5):58-60.
　ZHANG Ying-yan*,LI Li,WANG Jun-hua.Comparative analysis of cesarean section in patients with scar uterus re-pregnancy and non-scarred uterus[J].Chinese Journal of Family Planning & Gynecotokology,2017,(5):58-60.
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瘢痕子宫再次剖宫产与非瘢痕子宫剖宫产的 妊娠结局分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年5期
页码:
58-60
栏目:
论著与临床
出版日期:
2017-05-25

文章信息/Info

Title:
Comparative analysis of cesarean section in patients with scar uterus re-pregnancy and non-scarred uterus
作者:
张英延1*; 李丽2; 王俊华3
莱芜市人民医院1.产科;2.药剂科;3.急诊科
Author(s):
ZHANG Ying-yan1*;  LI Li2;  WANG Jun-hua3
1. Department of Obstetrics; 2. Pharmacy; 3. Department of Emergency,Laiwu City People's Hospital, Laiwu Shandong 271199，P.R. China
关键词:
瘢痕子宫; 剖宫产; 再次妊娠; 临床效果
Keywords:
scar of the uterus;  cesarean section;  re-pregnancy;  clinical effects
分类号:
R 719.8
摘要:
目的分析并探讨瘢痕子宫再次剖宫产与非瘢痕子宫剖宫产妊娠结局的差异。方法2014年1月至2016年1月莱芜市人民医院产科收治的瘢痕子宫再次剖宫产产妇100名作为观察组，选取同期收治的非瘢痕子宫剖宫产产妇100名作为对照组。观察并对比两组产妇妊娠结局，包括子宫破裂情况，胎盘情况以及手术情况。结果观察组先兆子宫破裂发生率为1700 %，不完全子宫破裂1100 %，完全子宫破裂100 %。对照组先兆子宫破裂发生率为200 %，不完全子宫破裂100 %，无完全子宫破裂。观察组先兆子宫破裂和不完全子宫破裂发
Abstract:
ObjectiveTo analyze and compare the pregnancy outcome between secondary cesarean section in patients with scar uterus and non-scarred uterus cesarean section. MethodsSelected 100 second cesarean section patients with scar uterus from January 2014 to January 2016 in Obstetrics Department of Laiwu City People's Hospital as the observation group. 100 non-scarred uterus cesarean section patients were selected as the control group. Observe and compare the two groups of maternal pregnancy outcome, including uterine rupture, placental conditions and surgery.ResultsThe incidence of uterine rupture was 1700%, incomplete uterine rupture was 1100% and complete uterine rupture was 100% in the observation group. The incidence of premenstrual uterine rupture was 200%, incomplete uterine rupture was 100% and no complete uterine rupture was in the control group. The incidence of uterine rupture and incomplete uterine rupture in the observation group was significantly higher than that in the control group (P<005). The incidence of placenta accrete, placenta previa and placental adhesions was 1300%, 1200% and 1200% in the observation group. The incidence of placenta accrete, placenta previa and placental adhesions was 200%, 100%and 100% in the control group. The incidence of placenta accreta, placenta previa and placenta adhesion in the observation group was significantly higher than that in the control group (P<005). The operation time and bleeding volume in the observation group were significantly higher than those in the control group (P<005). ConclusionSecondary uterine cesarean section of scar uterus is more dangerous and has a higher complication rate than cesarean section of non-scar uterus. The mode of delivery should be chosen carefully in clinical practice.

参考文献/References:

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更新日期/Last Update: 2017-05-25