瘢痕子宫再次剖宫产的并发症分析

Complications of Repeated Cesarean Section in Pregnant Women with Scarred Uterus

目的分析瘢痕子宫再次剖宫产的并发症,降低社会因素及瘢痕子宫提升的剖宫产率。方法我科5年来共收治206例瘢痕子宫再次妊娠分娩患者,将其中瘢痕子宫再次剖宫产患者145例(研究组)与初次行剖宫产患者388例(对照组)的并发症进行比较分析。结果瘢痕子宫再次妊娠分娩方式中再次剖宫产率为70.39%(145/206),其发生盆腹腔粘连率、子宫破裂率、产后出血率、前置胎盘率等并发症均明显高于初次剖宫产患者(P<0.05)。结论瘢痕子宫再次行剖宫产的并发症显著增多,所以应控制社会因素剖宫产,降低初次剖宫产率,进而降低瘢痕子宫再次剖宫产。

Objective To study the complications of repeated cesarean section in pregnant women with scarred uterus, to provide basis for reduction of cesarean caused by social factors or scarred uterus. Methods Complications were compared be- tween 145 scarred uterus pregnant women receiving repeated cesarean section （study group） and 388 receiving the operation ini- tially （ control group）. Results The main delivery way of pregnant women with scar uterus was cesarean section, accounting for 70. 39% （145/206）. The incidences of abdominopelvic cavity adhesion, hysterorrhexis, postpartum haemorrhage, placenta praevia and other complications were higher in study group than in control. Conclusion The repeated cesarean section complica- tions of scarred uterus are significantly high, it is necessary to control cesarean section caused by social factors and initial ones to lower repeated cesarean section of scarred uterus.