摘要
目的:探讨剖宫产术后产妇瘢痕子宫再次妊娠后经阴道分娩的安全性及可行性。方法:64例剖宫产术后再次妊娠女性作为研究组,采用经阴道分娩方式娩出胎儿;另选择50例再次分娩产妇作为对照组,观察两组产妇经阴道分娩的成功率、婴儿APORG评分、术后并发症发生情况。结果:研究组经阴道分娩成功率42.19%,对照组为97.06%,对照组高于研究组;对照组婴儿APORG评分10.9,研究组婴儿APORG评分10.8,两组间差异无显著意义;对照组并发症发生率2.94%,研究组高于对照组;研究组术后并发症发生率7.35%,研究组高于对照组。结论:剖宫产术后瘢痕子宫再次妊娠后经阴道分娩仍具有较高的安全性,但成功率较低,术前应严格掌握指证。
Objective Discussion of parturient after cesarean section uterine scar pregnancy after vaginal delivery safety and feasibility. Methods In 64 cases of cesarean section after pregnancy women as study group, using a vaginal delivery childbirth fetal; another 50 cases of maternal birth again served as a control group, observe two groups of maternal vaginal delivery success rate, baby APORG score, postoperative complications. Results Study of vaginal delivery success rate was 42.19% 97.06% in control group, the control group was higher than that of control group infants study group; APORG score of 10.9, the study group baby APORG score of 10.8, the difference between the two groups had no significant difference; the control group the incidence of complications was 2.94%, the study group than in the control group; research group the postoperative complication rate was 7.35%, the study group than in the control group. Conclusion After cesarean uterine scar pregnancy after vaginal delivery still has higher security, but the success rate is low the preoperative should be strictly controlled..
出处
《求医问药（下半月刊）》
2012年第4期240-241,共2页
Seek Medical and Ask The Medicine
