[1]彭光彩,王晓雯*.剖宫产术后远期并发症及临床影响[J].中国计划生育和妇产科,2017,(3):46-49.
　PENG Guang-cai,WANG Xiao-wen*.Long - term complications and clinical effect after cesarean section[J].Chinese Journal of Family Planning & Gynecotokology,2017,(3):46-49.
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剖宫产术后远期并发症及临床影响
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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3期
页码:
46-49
栏目:
论著与临床
出版日期:
2017-03-25

文章信息/Info

Title:
Long - term complications and clinical effect after cesarean section
作者:
彭光彩; 王晓雯*
长江大学附属第一医院妇产科
Author(s):
PENG Guang-cai; WANG Xiao-wen*
Department of Obstetrics & Gynecology, First Affiliated Hospital of Yangtze University, Jingzhou Hubei 434000, P.R. China
关键词:
剖宫产; 远期并发症; 产后大出血; 子宫切除
Keywords:
cesarean section;  long-term complications;  postpartum hemorrhage;  hysterectomy
分类号:
R 719.8
摘要:
目的探讨剖宫产术后的远期并发症及其对临床的影响。方法对近6年长江大学附属第一医院所有剖宫产术后远期并发症患者的临床病历资料进行回顾性分析。结果① 远期并发症：剖宫产瘢痕部位妊娠、凶险性前置胎盘、腹壁子宫内膜异位症及瘢痕子宫破裂等发生率逐年升高；② 瘢痕子宫产后大出血的发生率明显高于非瘢痕子宫二胎分娩；③ 瘢痕子宫分娩行子宫切除术的发生率明显高于非瘢痕子宫二胎分娩。结论剖宫产术的远期并发症会对母体造成不同程度的损害，应尽可能做好相应的防范措施。
Abstract:
ObjectiveTo investigate the long-term complications after cesarean section and to explore its clinical effection. MethodsClinical data of patients with long-term complications after cesarean section in First Affiliated Hospital of Yangtze University within six years were analyzed retrospectively. Results① The incidence of long-term complications(cesarean section scar pregnancy, dangerous placenta previa, abdominal wall endometriosis and scar uterine rupture,et al) are increasing year by year; ② The incidence of postpartum hemorrhage of scar uterus is significantly higher than that of vaginal delivery；③ Hysterectomy in scar uterus delivery is significantly higher than that of vaginal delivery. ConclusionThe long-term complications of cesarean section will cause various degrees of damage to the mother, thus we should do a good job as appropriate preventive measures.

参考文献/References:

［1］ABDULJABBAR H S, BAHKALI N M, AL-BASRI S F, et al. Placenta previa：A 13 years experience at a tertiary care center in Western Saudi Arabia ［J］. Saudi Medical Journal, 2016, 37 (7): 761-765. ［2］路思思，邹丽．凶险性前置胎盘致产后大出血的防范 ［J］．中国实用妇科与产科杂志，2014 ，30 （4）：256-259． ［3］Karaman E, Kolusar A, Cetin O, et al. Local resection may be a strong alternative to cesarean hysterectomy in conservative surgical management of placenta percreta: experiences from a tertiary hospital ［J］. Journal of Maternal-Fetal and Neonatal Medicine, 2016，29（6）:1-6. ［4］LI Guang-tai, LI Xiao-fan, WU Bao-ping, et al. Longitudinal parallel compression suture to control postopartum hemorrhage due to placenta previa and accrete ［J］. Taiwanese Journal of Obstetrics & Gynecology, 2016, 55 (2): 193-197. ［5］Yeniel A O, Ergenoglu A M, Akdemir A, et al. Massive secondary postpartum hemorrhage with uterine artery pseudoaneurysm after cesarean section ［J］. Case Reports in Obstetrics & Gynecology,2013:285846. ［6］Calvo-Aguilar O, Vásquez-Martínez J, Hernández-Cuevas P. Obstetric hysterectomy in the General Hospital Dr. Aurelio Valdivieso: three-year review ［J］. Ginecol Obstetricia Mexico, 2016, 84(2)：72-78. ［7］WANG Qiao, PENG Hong-ling, HE Lei, et al. Reproductive outcomes after previous cesarean scar pregnancy: Follow up of 189 women ［J］. Taiwanese Journal of Obstetrics & Gynecology, 2015, 54 (5): 551-553. ［8］HE Yi-feng, WU Xin, ZHU Qiu-jing, et al. Combined laparoscopy and hysteroscopy vs. uterine curettage in the uterine artery embolization-based management of cesarean scar pregnancy: a retrospective cohort study ［J］. BMC Women's Health, 2014, 14(1): 1-8. ［9］UCAR M G, SANLIKAN F, GOCMEN A. Surgical treatment of scar endometriosis following cesarean section, a series of 12 cases［J］. Indian Journal of Surgery, 2015, 77 (2): 682-686. ［10］白晓霞，王正平，杨小福．子宫破裂67例临床分析 ［J］．中华妇产科杂志，2014，49 （5）：331-335．

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更新日期/Last Update: 2017-03-25