瘢痕子宫再次剖宫产与非瘢痕子宫剖宫产的临床对比

Clinical Comparison of Scar Uterus Cesarean Section and Non Scar Uterus Cesarean Section

目的对比分析瘢痕子宫再次剖宫产以及非瘢痕子宫剖宫产的临床效果。方法选取2017年1—12月在我院剖宫产分娩的120例产妇,分为实验组(60例,瘢痕子宫再次剖宫产产妇)和对照组(60例,非瘢痕子宫剖宫产产妇),对比两组分娩情况。结果实验组子宫破裂率(8.3%)、前置胎盘率(11.7%)、胎盘植入率(13.3%)、胎盘粘连率(13.3%)等均高于对照组0%、1.7%、3.3%、1.7%。结论相对于非瘢痕子宫剖宫产产妇而言,瘢痕子宫再次妊娠剖宫产产妇具有更高的分娩风险,临床一定要严格把握瘢痕子宫产妇剖宫产指征,尽可能建议产妇选择阴道分娩。

Objective To compare and analyze the clinical effect of scar uterus cesarean section and non scar uterus cesarean section. Methods120 cases of puerperal cesarean delivery in our hospital from January to December 2017 were selected, and were divided into experimental group（60 cases, scar uterus cesarean section） and control group（60 cases, non scar uterus cesarean section）, The two groups of childbirth were compared. Results The uterine rupture rate（8.3%）, placenta previa rate（11.7%）, placenta implantation rate（13.3%） and placenta adhesion rate（13.3%） in the experimental group were all lower than those in the control group of 0%, 1.7%, 3.3% and 1.7%. Conclusion Compared with non scar uterus cesarean section women, the cesarean section of cesarean section with scarred uterus has higher risk of childbirth. Clinical must strictly grasp the indication of cesarean section for cesarean section of the scarred uterus, and recommend the vaginal delivery as far as possible.